Individual
DR. KARL CONSTANTIN SALIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2222 ELECTRIC RD, SW, SUITE 201, ROANOKE, VA 24018-2300
(540) 774-8007
(540) 774-4530
Mailing address
2222 ELECTRIC RD, SW, PO BOX 20108, ROANOKE, VA 24018-0011
(540) 774-8007
(540) 774-4530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004183
ANTHEM BLUE CROSS/BLUE SH
VA
05
—
9205047
—
VA
Enumeration date
06/29/2006
Last updated
10/02/2009
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