Provider Demographics
NPI:1801950217
Name:SOLTYS, ROBERT G (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:SOLTYS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4041 CANYON GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2181
Mailing Address - Country:US
Mailing Address - Phone:512-306-8949
Mailing Address - Fax:
Practice Address - Street 1:2901 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:F-7
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-8101
Practice Address - Country:US
Practice Address - Phone:512-306-8949
Practice Address - Fax:512-306-8625
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4716T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E74TMedicare ID - Type Unspecified
TXU46045Medicare UPIN