Provider Demographics
NPI:1962585109
Name:SOL, ALLEN JEFFREY (OD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:JEFFREY
Last Name:SOL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:401 N US HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-1526
Mailing Address - Country:US
Mailing Address - Phone:903-463-6000
Mailing Address - Fax:903-463-6009
Practice Address - Street 1:401 N US HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1526
Practice Address - Country:US
Practice Address - Phone:903-463-6000
Practice Address - Fax:903-463-6009
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3111152W00000X
TX7364T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA153318OtherHARVARD PILGRIM HEALTH
MA22-00492OtherUNITED HEALTH CARE
MA0031123OtherNEIGHBORHOOD HEALTH PLAN
MA0313599Medicaid
RI257457OtherBLUE CROSS RI
MA59623OtherFALLON HEALTH PLAN
MAW15826OtherBLUE CROSS MA
MA11713OtherSPECTERA VISON PLAN
RI405458OtherBLUE CHIP RI
MA93727OtherAETNA/US HEALTHCARE
MABZ 09211701OtherCIGNA HEALTHCARE
RI405458OtherBLUE CHIP RI
MA59623OtherFALLON HEALTH PLAN