MEDICARE: DR. SHANE A SOLBERG O.D.

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	152W00000X	Optometrist	2334	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	391985642	OTHER	WI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1285624080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANE A SOLBERG O.D.

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	S30W24896 SUNSET DR
Second Line	:	SUITE 105
City	:	WAUKESHA
State	:	WI
Zip	:	53189-7021
Country	:	US
Telephone Number	:	262-542-5295
Fax Number	:	262-542-5641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	06/21/2022

Similar Medicare Providers

1255510095 — SOLBERG EYE CARE SC
Practice Location Address:

S30W24896 SUNSET DR , SUITE 105
WAUKESHA, WI
53189-7021

Practice Phone: 262-542-5295
Practice Fax:

1063150597 — OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A.
Practice Location Address:

S30W24896 W SUNSET DR
WAUKESHA, WI
53189-7021

Practice Phone: 262-226-2243
Practice Fax: 262-226-2244

1437897964 — AMERICAN CURRENT CARE P.A.
Practice Location Address:

S30W24896 W SUNSET DR
WAUKESHA, WI
53189-7021

Practice Phone: 262-226-2243
Practice Fax: 262-226-2244

1457295693 — ATHLETICO LTD
Practice Location Address:

211 E SUNSET DR
WAUKESHA, WI
53189-7603

Practice Phone: 262-832-7600
Practice Fax: 262-832-7601

1811998545 — JODI CORINNE DELAGRAVE APNP, DNP
Practice Location Address:

1130 W SUNSET DR
WAUKESHA, WI
53189-8422

Practice Phone: 800-389-2727
Practice Fax:

1770579377 — DR. DONALD MICHAEL BERGMAN D.C.
Practice Location Address:

161 W SUNSET DR
WAUKESHA, WI
53189-7674

Practice Phone: 262-549-0606
Practice Fax: 262-549-9121

Directions to “ DR. SHANE A SOLBERG O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.