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Organization

SOLL EYE PC OF PA

Active
Other names
OPTICAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN M SOLL MD (MD)
(215) 288-5000
Entity
Organization

Contact information

Practice address
5001 FRANKFORD AVE, PHILADELPHIA, PA 19124-2619
(215) 288-5000
(215) 744-1233
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
0603090001
DURABLE MEDEICAL EQUIPMEN
PA
01
16787
SPECTERA GROUP #
PA
01
16795
SPECTERA GROUP #
PA
01
32060
DAVIS VISION FR GROUP #
PA
01
PA10000
VBA GROUP #
PA
Enumeration date
07/06/2006
Last updated
10/22/2007
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