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IndividualActivePrescriber

Dr. Jay Charles Black

OD

Optometrist

NPI: 1629113261Loves Park, Illinois, 61111(815) 877-6551Male

About Dr. Jay Charles Black

Dr. Jay Charles Black, OD, is a male healthcare professional specializing in Optometrist, registered under National Provider Identifier (NPI) number 1629113261. Their primary practice is located at 5316 N SECOND STREET, Loves Park, Illinois 61111.

Patients can reach the office at (815) 877-6551. Dr. Jay Charles Black is authorized to prescribe medications. Dr. Jay Charles Black has been NPI-registered since 2007.

Doctor Details

Identity & Credentials

NPI Number
1629113261
Entity Type
Individual
First Name
Jay
Last Name
Black
Credential
OD
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
5316 N SECOND STREET
City
Loves Park
State
Illinois
ZIP
61111-5009
Country
United States
Phone
(815) 877-6551
Fax
(815) 877-4821

Specialty & Taxonomy

Primary Specialty
Optometrist
Classification
Optometrist
Taxonomy Code
152W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
5316 N SECOND STREET
City
LOVES PARK
State
IL
ZIP
611115009

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Dr. Jay Charles Black's NPI number?
Dr. Jay Charles Black's National Provider Identifier (NPI) is 1629113261. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Jay Charles Black specialize in?
Dr. Jay Charles Black specializes in Optometrist.
Where is Dr. Jay Charles Black located?
Dr. Jay Charles Black practices at 5316 N SECOND STREET, Loves Park, Illinois 61111. You can reach them by phone at (815) 877-6551.
Does Dr. Jay Charles Black accept Medicare?
Based on available data, Dr. Jay Charles Black is not currently enrolled in the Medicare program.
Does Dr. Jay Charles Black offer telehealth or virtual visits?
Dr. Jay Charles Black does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Jay Charles Black prescribe medications?
Yes, Dr. Jay Charles Black is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jay Charles Black is 1629113261.