Organization Active NPI

Douglas N. Black, O.D., P.a.

  • Optometrist
  • Richardson, TX
National Provider Identifier
1457513343
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOUGLAS N. BLACK, O.D., P.A.
Practice address
2000 N Plano Rd
Ste 111
Richardson, TX 75082-4427
Phone
(972) 234-3937
Fax
(972) 234-3982
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Erin Holland
Title
Insurance Coordinator
Phone
(972) 234-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2000 N Plano Rd
Ste 111
Richardson, TX 75082-4427

Mailing address

2000 N Plano Rd
Ste 111
Richardson, TX 75082-4427
Phone (972) 234-3937

National Provider Directory

National Provider Directory

Locations

2000 N Plano Rd
Ste 111
Richardson, TX 75082
Phone (972) 234-3937

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1457513343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N PLANO RD",
            "address_2": "STE 111",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824427",
            "telephone_number": "972-234-3937",
            "fax_number": "972-234-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N PLANO RD",
            "address_2": "STE 111",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824427",
            "telephone_number": "972-234-3937",
            "fax_number": "972-234-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS N. BLACK, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "972-234-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.