Individual provider Active NPI

Erin Lessner Black, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Gainesville, FL
National Provider Identifier
1831419068
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME119178 Issued in FL
Practice address
6801 NW 9TH Blvd Ste 2
Gainesville, FL 32605-4263
Phone
(352) 514-5829
Fax
(864) 522-3975
NPI assigned
Jun 10, 2010
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME119178 FL Primary

Addresses

Primary practice location

6801 NW 9TH Blvd Ste 2
Gainesville, FL 32605-4263

Mailing address

5408 SW 93Rd Ter
Gainesville, FL 32608-4327
Phone (352) 514-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170718000439 DC Practitioner - Ophthalmology 7719104074 Practice locations: Washington, DC
I20220312000181 FL Practitioner - Ophthalmology 7719104074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6801 NW 9 Blvd
Suite 2
Gainesville, FL 32605-4263
Phone (352) 514-5829

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME119178FLMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Black, MD PLLC CurrentSince Jan 21, 2022 Accepting new patients

Locations

6801 NW 9th Blvd
Ste 2
Gainesville, FL 32605
Phone (352) 331-3401

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1831419068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 SW 93RD TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084327",
            "telephone_number": "352-514-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 9TH BLVD STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054263",
            "telephone_number": "352-514-5829",
            "fax_number": "864-522-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ERIN",
        "middle_name": "LESSNER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME119178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.