Provider Demographics
NPI:1992711097
Name:SOLOMON, CARI (OD)
Entity type:Individual
Prefix:DR
First Name:CARI
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:40 NOBLE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4122
Practice Address - Country:US
Practice Address - Phone:717-218-6656
Practice Address - Fax:717-243-0738
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003376152W00000X
VA0618003379152W00000X
NYTUV005186152WC0802X, 152WV0400X
NY005186152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA4000012539Medicare PIN