MEDICARE: DR. ROBERT G. SOLTYS 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	4716T	TX

General Provider Information

NPI Number	:	1801950217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT G. SOLTYS O.D.

Provider Business Mailing Address
First Line	:	4041 CANYON GLEN CIR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2181
Country	:	US
Telephone Number	:	512-306-8949
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 S CAPITAL OF TEXAS HWY
Second Line	:	F-7
City	:	AUSTIN
State	:	TX
Zip	:	78746-8101
Country	:	US
Telephone Number	:	512-306-8949
Fax Number	:	512-306-8625

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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