Provider Demographics
NPI:1174628739
Name:SALTER, JAMES D (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:SALTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:671 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5585
Mailing Address - Country:US
Mailing Address - Phone:919-359-2656
Mailing Address - Fax:
Practice Address - Street 1:100 BUTTERNUT LN
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5868
Practice Address - Country:US
Practice Address - Phone:919-359-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1556152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7909363Medicaid
NC562184637OtherSVS
NC09363OtherBCBS
NC1310160001OtherPALMETTO
NC1433199OtherUHC (SMITHFIELD)
NC22-28849OtherUHC
NC5310433OtherAETNA
NC200495OtherMEDCOST (SMITHFIELD)
NC410047260OtherRAILROAD MEDICARE
NC6726007005OtherCIGNA
NC283240OtherMAMSI
NCNC1556OtherEYEMED
NC19706OtherOPTICARE
NC24105OtherAVESIS
NC260572880OtherSVS
NC562184637OtherVSP
NC96201OtherMEDCOST
NCOP2279OtherEYEMED (SMITHFIELD)
NCNC1556OtherEYEMED
NC22-28849OtherUHC