Black Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BLACK OPTICAL LLC

Practice address

401 N Euclid Ave
Saint Louis, MO 63108-1601

Phone

(314) 367-1848

Fax

(800) 735-4401

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Gary Black II

Title

Owner

Phone

(314) 367-1848

Specialties & licenses 1

Addresses

Other names 1

• The Eye Bar Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Emily C O'Brien, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1487214961
  NPD
• Sonia Salas, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1114254281
  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1376201715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081601",
            "telephone_number": "314-367-1848",
            "fax_number": "800-735-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081601",
            "telephone_number": "314-367-1848",
            "fax_number": "800-735-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Carondelet Plz",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631053429",
            "country_code": "US",
            "telephone_number": "314-367-1848",
            "fax_number": "800-735-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACK OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-367-1848",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cwe@theeyebar.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "401 N Euclid Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631081601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Eye Bar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BKD Personal Assistance Services LLC
• Barbara Blachut, MD
• Black Alcohol Drug Service Information Center
• Black Alcohol/Drug Service Information Center
• Black Alcohol/Drug Service Information Center
• Barbara Black, LPC
• Christopher Black, CRNA
• James Robert Black, MD
• Kathleen Casey Black, CRNA
• Kevin J Black, MD

• All providers in Saint Louis, MO
• Optician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.