Solomon, Vinita Mary
Solomon, Vinita Mary is an individual health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2403. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Solomon, Vinita Mary can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
1025 S 6Th St
Springfield IL 62703-2403
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010132 | Illinois |
Profile Details
| NPI number | 1225238843 |
|---|---|
| LBN Legal business name | Solomon, Vinita Mary |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2007 |
| Last updated | Jan 19th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225238843 | NPPES |
| Illinois | MEDICAID | 046010132 | |
| Illinois | Other | R02624 |
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