Provider Demographics
NPI:1063651206
Name:SOLO OPTOMETRY PC
Entity Type:Organization
Organization Name:SOLO OPTOMETRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARI
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-810-6330
Mailing Address - Street 1:250 W 57TH ST STE 901
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10107-0008
Mailing Address - Country:US
Mailing Address - Phone:212-810-6330
Mailing Address - Fax:877-205-9234
Practice Address - Street 1:250 W 57TH ST STE 901
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107-0008
Practice Address - Country:US
Practice Address - Phone:212-810-6330
Practice Address - Fax:877-205-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005186152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1992711097Medicare UPIN