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NPI Code Detail

MEDICARE: DR. MARK D. SALOPEK O.D.

MEDICARE:  DR. MARK D. SALOPEK  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management Optometrist1511NC
2152W00000XOptometrist1511NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00245416OTHERNCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3093R4OTHERNCBCBS PIN

General Provider Information

NPI Number : 1295731214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK D. SALOPEK O.D.
Provider Business Mailing Address
First Line : 1920 EYRIE CT
Second Line : APT 201
City : RALEIGH
State : NC
Zip : 27606-4745
Country : US
Telephone Number : 919-889-4438
Fax Number :
Provider Business Practice Location Address
First Line : 4170 FAYETTEVILLE RD
Second Line :
City : RALEIGH
State : NC
Zip : 27603-3606
Country : US
Telephone Number : 919-772-2020
Fax Number : 919-772-8818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 12/11/2007

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Directions to “ DR. MARK D. SALOPEK O.D.” Practice Location

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