DR. PHYLLIS M SOLACK (NPI# 1336294792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336294792 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS M SOLACK |
| Credential | O.D. |
| Practice Address |
1289 E Livingston Ave Columbus OH 43205-2838 |
| Practice Telephone | 6142521173 |
| Practice Fax Number | 6142532053 |
| Mailing Telephone | 6142521173 |
| Mailing Fax Number | 6142532053 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3289 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARESOURCE | 311016335026 | 01 |
| OH | 0334481 | 05 |
| Street Address |
1289 E LIVINGSTON AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164465837 | John E Ratliff | Family Medicine | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2006-06-13 |
| 1174175350 | Heather Weiss | Registered Nurse | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2019-07-09 |
| 1053972109 | Alexis Weaver | Registered Nurse | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2019-06-27 |
| 1245700228 | Rodger E Roddy | Counselor | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2018-12-03 |
| 1245712769 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2018-08-31 |
| 1952882805 | Columbus Neighborhood Health Center, Inc. | Clinic/Center | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2018-08-28 |
| 1295216315 | Columbus Neighborhood Health Center, Inc. Dba Primaryone Health | Clinic/Center | 1289 E Livingston Ave, Columbus, OH 43205 | 2018-08-27 |
| 1306372131 | William Crowe | Counselor | 1289 E Livingston Ave, Columbus, OH 43205 | 2017-05-11 |
| 1831625946 | Compdrug | Clinic/Center | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2017-05-10 |
| 1598296196 | Deborah Ann Rambo-foley | Counselor | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2017-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278315 | Clarkson Optometry Midwest Inc. | Optometrist | 553 E Town St Ste 1, Columbus, OH 43215-4925 | 2020-02-28 |
| 1568009553 | Nicholas King-smith O.d., Inc. | Optometrist | 5144 Morse Rd, Columbus, OH 43230-1360 | 2019-12-09 |
| 1285284273 | Unity Eye Centers Inc | Optometrist | 605 23rd St, Columbus, NE 68601-2767 | 2019-09-12 |
| 1669034492 | Lauren Davis | Optometrist | 5965 E Broad St Ste 480, Columbus, OH 43213-1562 | 2019-07-02 |
| 1144881152 | Angela J. Beal, Od, LLC | Optometrist | 1300 Polaris Pkwy, Columbus, OH 43240-2038 | 2019-06-21 |
| 1922668623 | Christine M Cosgrove | Optometrist | 2827 Charing Rd Apt B, Columbus, OH 43221-3676 | 2019-06-16 |
| 1336706639 | Daniel Crawford | Optometrist | 3235 Kenyon Rd, Columbus, OH 43221-1809 | 2019-05-22 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1467944710 | Sarah Baughman | Optometrist | 3785 S High St, Columbus, OH 43207-4011 | 2018-06-02 |
| 1073034609 | Jamie L Blavat | Optometrist | 1513 Park Ave Fl 1, Columbus, WI 53925-1793 | 2017-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.