Solorzano, Jorge Luis

Solorzano, Jorge Luis is an individual health care provider with primary practice located at 1414 Arlington St Ste 1400, Ada OK 74820-2643. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Solorzano, Jorge Luis can be contacted via phone (580) 332-1880.

Contact Information

Primary practice address
1414 Arlington St Ste 1400 Ada OK 74820-2643
Phone: (580) 332-1880
Fax: (580) 332-2214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2432 Oklahoma

Profile Details

NPI number 1952304586
LBN Legal business name Solorzano, Jorge Luis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated May 15th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952304586 NPPES
Oklahoma Other 2324338 UNITED HEALTHCARE
Oklahoma Other 7200451 UNITED HEALTHCARE
Oklahoma MEDICAID 200061320A UNITED HEALTHCARE

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