Individual
DR. MARK D. SALOPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4170 FAYETTEVILLE RD, RALEIGH, NC 27603-3606
(919) 772-2020
(919) 772-8818
Mailing address
1920 EYRIE CT, APT 201, RALEIGH, NC 27606-4745
(919) 889-4438
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
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