Individual
DR. JONATHAN KIM SOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
Primary
OE0058641
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397008
NVA
PA
01
—
SO186761
MEDICARE PROVIDER NUMBER
PA
Enumeration date
05/02/2006
Last updated
11/13/2007
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