Provider Demographics
NPI:1639447063
Name:D' SOL OPTICAL
Entity type:Organization
Organization Name:D' SOL OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HAWKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-288-9898
Mailing Address - Street 1:440 PATROL RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-7754
Mailing Address - Country:US
Mailing Address - Phone:812-288-9898
Mailing Address - Fax:812-288-5752
Practice Address - Street 1:440 PATROL RD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-7754
Practice Address - Country:US
Practice Address - Phone:812-288-9898
Practice Address - Fax:812-288-9898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1471156FX1800X
IN18003503A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty