Provider Demographics
NPI:1770009490
Name:SOLL, LEAH ROSE (OD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:ROSE
Last Name:SOLL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:ROSE
Other - Last Name:FRANZONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:50 MALL RD STE 114
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4527
Practice Address - Country:US
Practice Address - Phone:781-229-2020
Practice Address - Fax:781-229-2025
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-15
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5246152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist