Healthcare Provider Details
I. General information
NPI: 1780716126
Provider Name (Legal Business Name): SOLL EYE PC OF PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
829 DURHAM RD
PENNDEL PA
19047-5736
US
IV. Provider business mailing address
5001 FRANKFORD AVE
PHILADELPHIA PA
19124-2619
US
V. Phone/Fax
- Phone: 215-288-5000
- Fax: 215-744-1233
- Phone: 215-288-5000
- Fax: 215-744-1233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHEN
M
SOLL
Title or Position: M.D.
Credential: M.D.
Phone: 215-288-5000