Provider Demographics
NPI:1710033600
Name:RICHARD S SOLOMON INC
Entity Type:Organization
Organization Name:RICHARD S SOLOMON INC
Other - Org Name:DR RICHARD S SOLOMON AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-365-3670
Mailing Address - Street 1:7101 DEMOCRACY BLVD STE 1800
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1018
Mailing Address - Country:US
Mailing Address - Phone:301-365-3670
Mailing Address - Fax:301-365-4583
Practice Address - Street 1:7101 DEMOCRACY BLVD STE 1800
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1018
Practice Address - Country:US
Practice Address - Phone:301-365-3670
Practice Address - Fax:301-365-4583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0928152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG02165OtherMEDICARE GROUP NUMBER
MD1760585699OtherPERSONAL NPI NUMBER
MDG02165OtherMEDICARE GROUP NUMBER
MDG02165OtherMEDICARE GROUP NUMBER
MDG02165Medicare PIN