MEDICARE: SOLO OPTOMETRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WV0400X	Vision Therapy Optometrist	TUV005186	NY

General Provider Information

NPI Number	:	1063651206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLO OPTOMETRY PC

Provider Business Mailing Address
First Line	:	250 W 57TH ST STE 901
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10107-0008
Country	:	US
Telephone Number	:	212-810-6330
Fax Number	:	877-205-9234

Provider Business Practice Location Address
First Line	:	250 W 57TH ST STE 901
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10107-0008
Country	:	US
Telephone Number	:	212-810-6330
Fax Number	:	877-205-9234

Authorized Official
Title or Position	:	PRESIDENT/OPTOMETRIST
Name	:	DR. CARI HOPE SOLOMON
Credential	:	O.D.
Telephone Number	:	212-810-6330

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	01/24/2011

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