Individual
DR. MARK D. SALOPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1511
NC
152WC0802X
Corneal and Contact Management Optometrist
1511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093R4
BCBS PIN
NC
05
—
89093R4
—
NC
01
—
P00245416
RR MEDICARE
NC
Enumeration date
06/23/2005
Last updated
12/11/2007
Update your record
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