Provider Demographics
NPI:1689746992
Name:SOLDINGER, RICHARD (OD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:SOLDINGER
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S PARROTT AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-4345
Mailing Address - Country:US
Mailing Address - Phone:863-763-4334
Mailing Address - Fax:
Practice Address - Street 1:520 S PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-4345
Practice Address - Country:US
Practice Address - Phone:863-763-4334
Practice Address - Fax:863-763-3226
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1504152W00000X
FLOPC1504152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19301OtherFL MEDICARE FCSO
FL0365300Medicaid
FL19301OtherFL MEDICARE FCSO
NYC31581Medicare UPIN
NY00777344Medicaid
NY4952510001Medicare NSC