Provider Demographics
NPI:1336217520
Name:SOLVERSON, LUTHER D (OD)
Entity Type:Individual
Prefix:DR
First Name:LUTHER
Middle Name:D
Last Name:SOLVERSON
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER
Mailing Address - Street 2:ATTN CREDENTIALS
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5650
Mailing Address - Country:US
Mailing Address - Phone:706-787-2720
Mailing Address - Fax:706-787-8176
Practice Address - Street 1:300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER
Practice Address - Street 2:ATTN CREDENTIALS
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5650
Practice Address - Country:US
Practice Address - Phone:706-787-2720
Practice Address - Fax:706-787-8176
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-05-11
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Provider Licenses
StateLicense IDTaxonomies
DCOP 455152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist