Individual provider Active NPI

Jorge Luis Solorzano, O.D.

  • Optometrist
  • Ada, OK
National Provider Identifier
1952304586
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2432 Issued in OK
Practice address
1414 Arlington St
Ste 1400
Ada, OK 74820-2643
Phone
(580) 332-1880
Fax
(580) 332-2214
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2432 OK Primary

Addresses

Primary practice location

1414 Arlington St
Ste 1400
Ada, OK 74820-2643

Mailing address

1414 Arlington St
Ste 1400
Ada, OK 74820-2643
Phone (580) 332-1880

Other identifiers 3

IdentifierTypeStateIssuer
2324338OtherOKUNITED HEALTHCARE
7200451OtherOKAETNA
200061320AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000142 OK Practitioner - Optometry 2860381316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2224 W Main St
Norman, OK 73069-6462
Phone (405) 360-2822

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2432OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of South Tulsa PC Optometrist CurrentSince Oct 30, 2018 Accepting new patients
Eye Medical Group, PLLC Optometrist CurrentSince Mar 5, 2022 Accepting new patients
Coastal Eye Specialists Medical Group Inc Optometrist PastSince Mar 22, 1999 Accepting new patients
Eye Associates of Oklahoma PLLC Optometrist Past Accepting new patients

Locations

2224 W Main St
Norman, OK 73069
Phone (405) 360-2322

10010 E 81st St
Ste 100
Tulsa, OK 74133
Phone (918) 250-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1952304586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ARLINGTON ST",
            "address_2": "STE 1400",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202643",
            "telephone_number": "580-332-1880",
            "fax_number": "580-332-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 ARLINGTON ST",
            "address_2": "STE 1400",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202643",
            "telephone_number": "580-332-1880",
            "fax_number": "580-332-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLORZANO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2324338",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7200451",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.