Individual
JORGE LUIS SOLORZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1414 ARLINGTON ST, STE 1400, ADA, OK 74820-2643
(580) 332-1880
(580) 332-2214
Mailing address
1414 ARLINGTON ST, STE 1400, ADA, OK 74820-2643
(580) 332-1880
(580) 332-2214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2432
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061320A
—
OK
01
—
2324338
UNITED HEALTHCARE
OK
01
—
7200451
AETNA
OK
Enumeration date
05/27/2005
Last updated
05/15/2008
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