Provider Demographics
NPI:1659533594
Name:KLEIN, SOLOMON ELI (OD)
Entity Type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:ELI
Last Name:KLEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:ELI
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:49 FOREST RD
Mailing Address - Street 2:VISION DEPARTMENT
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-3226
Mailing Address - Country:US
Mailing Address - Phone:845-782-3242
Mailing Address - Fax:
Practice Address - Street 1:49 FOREST RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2923
Practice Address - Country:US
Practice Address - Phone:845-782-3242
Practice Address - Fax:845-774-1686
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007308-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist