Active NPI
Terrence Edward Salek, OPTICIAN
- Optician
- Swoyersville, PA
National Provider Identifier
1184010134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6000000836
- Practice address
- 1200 Main St
Swoyersville, PA 18704-1318 - Phone
- (570) 287-2748
- Fax
- (570) 287-5240
- NPI assigned
- Apr 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 6000000836 | PA | Primary |
Addresses
Primary practice location
1200 Main St
Swoyersville, PA 18704-1318
Mailing address
1200 Main St
Swoyersville, PA 18704-1318
Phone (570) 287-2748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6000000836 | PA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428796800000",
"number": "1184010134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MAIN ST",
"city": "SWOYERSVILLE",
"state": "PA",
"postal_code": "187041318",
"telephone_number": "570-287-2748",
"fax_number": "570-287-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MAIN ST",
"city": "SWOYERSVILLE",
"state": "PA",
"postal_code": "187041318",
"telephone_number": "570-287-2748",
"fax_number": "570-287-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEK",
"first_name": "TERRENCE",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2015-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PA",
"license": "6000000836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swoyersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.