Individual provider Active NPI

David Black, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1902191620
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-001776 Issued in AZ
Practice address
6031 N 16TH St Ste 3
Phoenix, AZ 85016-1805
Phone
(602) 234-7904
Fax
(602) 875-0248
NPI assigned
Jun 10, 2011
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-001776 AZ Primary

Addresses

Primary practice location

6031 N 16TH St Ste 3
Phoenix, AZ 85016-1805

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

7333 W Thomas Rd Ste 18
Phoenix, AZ 85033-5547
Phone (623) 247-0777

Other practice location 2

1831 E Camelback Rd Ste B2
Phoenix, AZ 85016-4162
Phone (602) 234-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20130715000658 AZ Practitioner - Optometry 0345480372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank M Akers II O D PCGroup PAC ID 3274610480, 11 clinicians

Practice addresses (Care Compare)

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

3635 E Inverness Ave
Suite 105
Mesa, AZ 85206-3848
Phone (480) 372-8950

6031 N 16TH St
Suite 3
Phoenix, AZ 85016-1805
Phone (602) 234-7904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-001776AZMDOptometrist
1776AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Washington, PLLC Optometrist PastSince Nov 1, 2020 Accepting new patients
Luxottica of America Inc Past Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1902191620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 N 16TH ST STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161805",
            "telephone_number": "602-234-7904",
            "fax_number": "602-875-0248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7333 W Thomas Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850335547",
            "country_code": "US",
            "telephone_number": "623-247-0777",
            "fax_number": "623-849-1283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1831 E Camelback Rd Ste B2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164162",
            "country_code": "US",
            "telephone_number": "602-234-7904",
            "fax_number": "602-875-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.