Dr. Jay Charles Black
OD
Optometrist
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?
What does Dr. Jay Charles Black specialize in?
Where is Dr. Jay Charles Black located?
Does Dr. Jay Charles Black accept Medicare?
Does Dr. Jay Charles Black offer telehealth or virtual visits?
Can Dr. Jay Charles Black prescribe medications?
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.