Dr Blacks Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR BLACKS OPTOMETRY PC

Practice address

4424 S 7TH St
Terre Haute, IN 47802-4304

Phone

(517) 231-4086

Fax

(812) 299-8670

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Patricia Parks

Title

Billing Manager

Phone

(517) 231-4086

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayla N Black, OD

  • Optometrist
  • Terre Haute, IN
  • NPI 1326429713
  Medicare reassignment Care Compare group NPD
• Lauren Jenkins, OD

  • Optometrist
  • Terre Haute, IN
  • NPI 1396576013
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1194925222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024304",
            "telephone_number": "812-299-3937",
            "fax_number": "812-299-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024304",
            "telephone_number": "517-231-4086",
            "fax_number": "812-299-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BLACKS OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-231-4086"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251270A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201023600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Downham
• Jessica Maureen Downing, M.S., CCC-SLP
• Joseph Leonard Downing II, PT, DPT
• Stephanie J Downing, CR,CMT, CD(DONA), BS
• Patrick Doyle
• Dr. Irving I. Haber
• Dr. Mark Lynn & Associates, PLLC
• Dragonfly Holding Group LLC-S (Harry's Voice)
• Fred Duane Drake, M.D.
• Jessica Elizabeth Drake, NP

• Optometrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.