Provider Demographics
NPI:1417124983
Name:SOLIS INC.
Entity Type:Organization
Organization Name:SOLIS INC.
Other - Org Name:WORLD OPTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:FAVELA
Authorized Official - Suffix:
Authorized Official - Credentials:AA/ BA
Authorized Official - Phone:714-776-3335
Mailing Address - Street 1:555 N STATE COLLEGE BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2900
Mailing Address - Country:US
Mailing Address - Phone:714-776-3335
Mailing Address - Fax:714-400-0127
Practice Address - Street 1:555 N STATE COLLEGE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2900
Practice Address - Country:US
Practice Address - Phone:714-776-3335
Practice Address - Fax:714-400-0127
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLIS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD7045156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty