Provider Demographics
NPI:1912169970
Name:SOLAR, AMANDA J (OD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:J
Last Name:SOLAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:J
Other - Last Name:FRONHOFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2627
Mailing Address - Country:US
Mailing Address - Phone:518-584-2620
Mailing Address - Fax:518-584-3979
Practice Address - Street 1:206 LAKE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2627
Practice Address - Country:US
Practice Address - Phone:518-584-2620
Practice Address - Fax:518-584-3979
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003699152W00000X
NYTUV007277-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400220386Medicare PIN
NYJ400220373Medicare PIN
NYJ400220368Medicare PIN