Provider Demographics
NPI:1689746992
Name:SOLDINGER, RICHARD (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:SOLDINGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S PARROTT AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-4345
Mailing Address - Country:US
Mailing Address - Phone:863-763-4334
Mailing Address - Fax:
Practice Address - Street 1:520 S PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-4345
Practice Address - Country:US
Practice Address - Phone:863-763-4334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1504152W00000X
NYTUV003795152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0365300Medicaid
FL19301OtherFL MEDICARE FCSO
FL19301OtherFL MEDICARE FCSO
NYC31581Medicare UPIN
NY00777344Medicaid
NY4952510001Medicare NSC