Active NPI
Allen Jeffrey Sol, OD
- Optometrist
- Denison, TX
National Provider Identifier
1962585109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7364T
- Practice address
- 401 N US Highway 75
Denison, TX 75020-1526 - Phone
- (903) 463-6000
- Fax
- (903) 463-6009
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3111 | MA | |
| Optometrist | 152W00000X | 7364T | TX | Primary |
Addresses
Primary practice location
401 N US Highway 75
Denison, TX 75020-1526
Mailing address
401 N US Highway 75
Denison, TX 75020-1526
Phone (903) 463-6000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153318 | Other | MA | HARVARD PILGRIM HEALTH |
| 22-00492 | Other | MA | UNITED HEALTH CARE |
| 0031123 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 0313599 | Medicaid | MA | |
| 257457 | Other | RI | BLUE CROSS RI |
| 59623 | Other | MA | FALLON HEALTH PLAN |
| W15826 | Other | MA | BLUE CROSS MA |
| 11713 | Other | MA | SPECTERA VISON PLAN |
| 405458 | Other | RI | BLUE CHIP RI |
| 93727 | Other | MA | AETNA/US HEALTHCARE |
| BZ 09211701 | Other | MA | CIGNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3111 | MA | MD | Optometrist |
| 7364T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1962585109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N US HIGHWAY 75",
"city": "DENISON",
"state": "TX",
"postal_code": "750201526",
"telephone_number": "903-463-6000",
"fax_number": "903-463-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N US HIGHWAY 75",
"city": "DENISON",
"state": "TX",
"postal_code": "750201526",
"telephone_number": "903-463-6000",
"fax_number": "903-463-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOL",
"first_name": "ALLEN",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3111",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7364T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "153318",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "22-00492",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0031123",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0313599",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS RI",
"identifier": "257457",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "59623",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MA",
"identifier": "W15826",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA VISON PLAN",
"identifier": "11713",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP RI",
"identifier": "405458",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "93727",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "BZ 09211701",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.