Individual provider Active NPI

Karl Constantin Saliba, O.D.

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1891723888
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000122 Issued in VA
Practice address
2222 Electric Rd, SW
Suite 201
Roanoke, VA 24018-2300
Phone
(540) 774-8007
Fax
(540) 774-4530
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000122 VA Primary

Addresses

Primary practice location

2222 Electric Rd, SW
Suite 201
Roanoke, VA 24018-2300

Mailing address

2222 Electric Rd, SW
PO Box 20108
Roanoke, VA 24018-0011
Phone (540) 774-8007

Other identifiers 2

IdentifierTypeStateIssuer
9205047MedicaidVA
004183OtherVAANTHEM BLUE CROSS/BLUE SH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20061012000263 VA Practitioner - Optometry 6406852565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2222 Electric Rd
Suite 201
Roanoke, VA 24018-2300
Phone (540) 774-8007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karl C. Saliba, O.D., PC Optometrist CurrentSince Apr 1, 2009 Accepting new patients

Locations

595 Floyd Hwy N
Floyd, VA 24091
Phone (540) 745-3100

237 Franklin Pike SE
Floyd, VA 24091
Phone (540) 745-2016

2222 Electric Rd
Ste 201
Roanoke, VA 24018
Phone (540) 774-8007

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1891723888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 ELECTRIC RD, SW",
            "address_2": "PO BOX 20108",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180011",
            "telephone_number": "540-774-8007",
            "fax_number": "540-774-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 ELECTRIC RD, SW",
            "address_2": "SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182300",
            "telephone_number": "540-774-8007",
            "fax_number": "540-774-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIBA",
        "first_name": "KARL",
        "middle_name": "CONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9205047",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "004183",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.