Black Optometric Eye Associates,PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1176 Issued in NC

Legal business name

BLACK OPTOMETRIC EYE ASSOCIATES,PA

Practice address

518 W John St
Matthews, NC 28105-5353

Phone

(704) 847-9833

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Black, O.D.

Title

President/Owner

Phone

(704) 847-9833

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James B Black, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1326012741
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266710400000",
    "number": "1073788923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-847-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W JOHN ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055353",
            "telephone_number": "704-847-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK OPTOMETRIC EYE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2010-02-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-847-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1176",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "1176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of North Carolina, Inc.
• Shirley A. Bird, M.A., LPC, LPC#1015
• Lisa A Bivens, LCMHCA
• Kayleigh Bizjack
• Sladjana Bjelac, DDS
• Cristian Black, LAT, ATC
• Emily Vaughn Black, LCMHC
• Charlotte Paige Blackmon
• Margaret Jolea Blackwelder
• Charles M Blanton, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.