Organization
SOLL EYE PC OF NJ
Active
Organization
SOLL EYE PC OF NJ
Active
Other names
OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M SOLL MD (MD)
(215) 288-5000
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, SUITE 510, CAMDEN, NJ 08103-1438
(856) 342-7200
(856) 342-6620
Mailing address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038890
—
NJ
01
—
0603140001
DURABLE MEDICAL EQUIPMENT
NJ
01
—
16789
SPECTERA LOC #
NJ
01
—
24611
SPECTERA DISPENSING
NJ
01
—
34371
DAVIS VISION LOC #
NJ
05
—
3902704
—
NJ
05
—
7053509
—
NJ
01
—
NJ10000
VBA ID #
NJ
Enumeration date
02/07/2007
Last updated
04/20/2008
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