Individual provider Active NPI

Joshua Black, OD

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1487386181
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003243 Issued in VA
Practice address
241 Corporate Blvd
Norfolk, VA 23502-4975
Phone
(757) 742-3902
NPI assigned
Jun 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPC6120 FL
Optometrist 152W00000X 0618003243 VA Primary

Addresses

Primary practice location

241 Corporate Blvd
Norfolk, VA 23502-4975

Mailing address

200 SE 15TH Rd Apt 4K
Miami, FL 33129-1161
Phone (757) 952-9824

Other practice location 1

900 NW 17th St
Miami, FL 33136-1134
Phone (305) 326-6000

Other practice location 2

2463 Pruden Blvd
Suffolk, VA 23434-4235
Phone (757) 742-3902

Other practice location 3

2020 General Booth Blvd Ste 100
Virginia Beach, VA 23454-5875
Phone (757) 742-3902

Other practice location 4

465 N Great Neck Rd
Virginia Beach, VA 23454-4064
Phone (757) 742-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220714001167 FL Practitioner - Optometry 5597146167 Reassigns benefits to 1 organization
I20230616001618 VA Practitioner - Optometry 5597146167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

241 Corporate Blvd
Suite 210
Norfolk, VA 23502-4965
Phone 75762222003020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
60.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003243VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Optometrist CurrentSince Jul 1, 2022 Accepting new patients
University of Miami Current Accepting new patients
Virginia Eye Consultants Inc Optometrist CurrentSince Jul 1, 2023 Accepting new patients
University of Miami CurrentSince Jul 1, 2022 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2234 Cunningham Dr
Hampton, VA 23666
Phone (757) 742-3902

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

2463 Pruden Blvd
Suffolk, VA 23434
Phone (757) 742-3902

2020 General Booth Blvd
Ste 100
Virginia Beach, VA 23454
Phone (757) 427-0144

2020 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 742-3902

465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555

Interoperability endpoints

  • Direct secure messaging: joshua.black.p1@direct.vec.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1487386181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 15TH RD APT 4K",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291161",
            "telephone_number": "757-952-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024975",
            "telephone_number": "757-742-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361134",
            "country_code": "US",
            "telephone_number": "305-326-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2463 Pruden Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234344235",
            "country_code": "US",
            "telephone_number": "757-742-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 General Booth Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545875",
            "country_code": "US",
            "telephone_number": "757-742-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 N Great Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544064",
            "country_code": "US",
            "telephone_number": "757-742-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC6120",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.