Individual
SOLOMON M GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1995 BURNS AVE STE B, SAINT PAUL, MN 55119-4906
(651) 739-5173
(651) 739-8907
Mailing address
1995 BURNS AVE STE B, SAINT PAUL, MN 55119-4906
(651) 739-5173
(651) 739-8907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0000000
VT
152W00000X
Optometrist
Primary
3415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030-0086043
VERMONT LICENSE
VT
01
—
1518232149
NPI TYE I
MN
01
—
3415
MN LICENSE
MN
Enumeration date
03/15/2012
Last updated
04/10/2018
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