Provider Demographics
NPI:1912227422
Name:KAREN J SOLOFSKY, O.D. LLC
Entity type:Organization
Organization Name:KAREN J SOLOFSKY, O.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOLOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-625-7301
Mailing Address - Street 1:4620 BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-3213
Mailing Address - Country:US
Mailing Address - Phone:609-625-7301
Mailing Address - Fax:609-625-7354
Practice Address - Street 1:4620 BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-3213
Practice Address - Country:US
Practice Address - Phone:609-625-7301
Practice Address - Fax:609-625-7354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OM00087900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty