MEDICARE: MENATOLLA A SOLIMAN

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	0618003628	VA
2	152W00000X	Optometrist	I4-0010148	DE

General Provider Information

NPI Number	:	1649016858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENATOLLA A SOLIMAN

Provider Business Mailing Address
First Line	:	110 TROY DR
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-2067
Country	:	US
Telephone Number	:	908-247-4675
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 KIRKWOOD HWY
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-4917
Country	:	US
Telephone Number	:	302-994-2511
Fax Number	:

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

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	05/22/2026

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Directions to “ MENATOLLA A SOLIMAN ” Practice Location

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