Organization
SOLL EYE PC OF PA
Active
Other names
NORTHEAST DIVISION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M SOLL M.D. (M.D.)
(215) 288-5000
Entity
Organization
Contact information
Practice address
10160 BUSTLETON AVE, PHILADELPHIA, PA 19116-3749
(215) 934-7655
(215) 934-6278
Mailing address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00039405
HIGHMARK GROUP NUMBER
PA
01
—
0603090004
EYEWEAR SUPPLIER
PA
Enumeration date
10/31/2006
Last updated
08/22/2020
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