Adam C. Black, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2536 Issued in CO

Practice address

232 S Washington St
Ste 3
Naperville, IL 60540-5370

Phone

(630) 369-3937

Fax

(630) 369-3933

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 California - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Eye Group LLCGroup PAC ID 5395995070, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Black Eye Group, L.L.C.

  • Optometrist
  • Naperville, IL
  • NPI 1063776292
  Medicare reassignment Care Compare group NPD Authorized official
• Double a Vision PLLC

  • Optometrist
  • Naperville, IL
  • NPI 1649118761
  NPD
• Visionworks, Inc.

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  NPD (past)
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1295814903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WASHINGTON ST",
            "address_2": "STE 3",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405370",
            "telephone_number": "630-369-3937",
            "fax_number": "630-369-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WASHINGTON ST",
            "address_2": "STE 3",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405370",
            "telephone_number": "630-369-3937",
            "fax_number": "630-369-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ADAM",
        "middle_name": "C.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bite-Sized Beginnings, PLLC
• Erica Bizub
• Cynthia B. Bjorseth, O.D.
• Black Eye Group, L.L.C.
• Black Pearl Counseling, LLC
• Britney Blackmon, LCP
• Latreasa Denise Blackmon, LPC
• Joseph Blahut, PA-C
• Karen A Blair, D.D.S.
• Krisleen A Blanco Pulido, APRN

• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.