Mark D. Salopek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1511 Issued in NC

Practice address

4170 Fayetteville Rd
Raleigh, NC 27603-3606

Phone

(919) 772-2020

Fax

(919) 772-8818

NPI assigned

Jun 23, 2005

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Center Doctors of Optometry PAGroup PAC ID 6901883362, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eye Center, Doctors of Optometry, P.a.

  • Optometrist
  • Durham, NC
  • NPI 1174564900
  Medicare reassignment Care Compare group
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1295731214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 EYRIE CT",
            "address_2": "APT 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064745",
            "telephone_number": "919-889-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033606",
            "telephone_number": "919-772-2020",
            "fax_number": "919-772-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOPEK",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1511",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093R4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00245416",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "093R4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Laporte Sallean, LCSW
• Dedra Sally, CNM
• Aqsa Salman, LCMHC
• Angela Maria Salmon, CRNA
• Lauren Livesay Salmon
• Salt Castle Lake
• Salter Eye Associates, O.D., P.a.
• Susan Salter, P.T.
• Tanya Chaplinsky Salter, PHARMD
• Bonnie Joy Naomi Salu, LMBT

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.