Organization
SOLL EYE PC OF PA
Active
Organization
SOLL EYE PC OF PA
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
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
152W00000X
Optometrist
OEG001731
PA
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009231760014
—
PA
05
—
0009231760017
—
PA
01
—
0603090004
DURABLE MEDICAL EQUIPMENT
PA
01
—
16795
SPECTERA
PA
01
—
24609
SPECTERA DISPENSING
PA
01
—
39974
DAVIS VISION
PA
01
—
PA10000
VBA
PA
Enumeration date
01/25/2007
Last updated
04/20/2008
Update your record
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