Provider Demographics
NPI:1225119217
Name:SOLDO, MICHAEL AUSTIN (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:AUSTIN
Last Name:SOLDO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2944 DERR RD
Mailing Address - Street 2:APT #229
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503
Mailing Address - Country:US
Mailing Address - Phone:937-325-2816
Mailing Address - Fax:937-325-2818
Practice Address - Street 1:200 SOUTH TUTTLE RD
Practice Address - Street 2:WAL MART VISION CENTER
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503
Practice Address - Country:US
Practice Address - Phone:937-325-2816
Practice Address - Fax:937-325-2818
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5658152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist