Provider Demographics
NPI:1023119302
Name:SOLAR, PATRICIA (OD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:SOLAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WINDERMERE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1409
Mailing Address - Country:US
Mailing Address - Phone:713-975-0681
Mailing Address - Fax:
Practice Address - Street 1:5000 WESTHEIMER RD STE 590
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5618
Practice Address - Country:US
Practice Address - Phone:713-623-2000
Practice Address - Fax:713-623-2007
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2744T152W00000X, 152WC0802X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU66899Medicare UPIN
TX8D2883Medicare PIN
TX83329EMedicare PIN