Provider Demographics
NPI:1821081258
Name:SOLL EYE PC OF NJ
Entity Type:Organization
Organization Name:SOLL EYE PC OF NJ
Other - Org Name:SOLL EYE COOPER DIVISION
Other - Org Type:Other Name
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:SEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-288-5000
Mailing Address - Street 1:5001 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-2619
Mailing Address - Country:US
Mailing Address - Phone:215-288-5000
Mailing Address - Fax:215-744-1233
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 510
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-7200
Practice Address - Fax:856-342-6620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0038890Medicaid
NJ03908704Medicaid
NJ5473467OtherAETNA PPO
NJ498600OtherAETNA HMO
NJ2734880000OtherAMERIHEALTH OPTOMETRY
NJ1006528OtherHORIZON NJ HEALTH GROUP#
NJ0391088000OtherAMERIHEALTH NJ
NJ0038890Medicaid