Organization
CEDAR CREST VISION CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KIM SOLAN OD (OWNER)
(610) 435-5561
Entity
Organization
Contact information
Practice address
1251 S CEDAR CREST BLVD, SUITE 101A, ALLENTOWN, PA 18103-6205
(610) 435-5561
(610) 435-5565
Mailing address
1251 S CEDAR CREST BLVD, SUITE 101A, ALLENTOWN, PA 18103-6205
(610) 435-5561
(610) 435-5565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001756
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SO186761
MEDICARE PROVIDER NUMBER
PA
Enumeration date
01/30/2007
Last updated
08/01/2008
Update your record
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