| Robert J Black, OD | |
|
171 Ashley Ave, Charleston, SC 29425-0001 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Robert J Black |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003828534 | NPI | - | NPPES |
| D12010 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1201 (South Carolina) | Primary |
| Provider Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Black, OD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Robert J Black, OD 171 Ashley Ave, Charleston, SC 29425-0001 Ph: (843) 792-1414 |
Coastal Eye Care Of Charleston, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1606 Harbor View Rd, Charleston, SC 29412 Phone: 843-795-3937 Fax: 843-795-4760 | |
Dr. Summer Moorer Paulatos, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1231 Folly Rd, Charleston, SC 29412 Phone: 843-795-3400 Fax: 843-795-3435 | |
Dr. Paul M Beranek, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1890 Sam Rittenberg Blvd Ste 107, Charleston, SC 29407 Phone: 843-763-2020 Fax: 843-763-2021 | |
Crescent Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3050 Ashley Town Center Dr, Charleston, SC 29414 Phone: 843-460-2000 Fax: 843-460-2022 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407 Phone: 843-867-7056 | |
Dr. Robert Lopanik, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112 Rutledge Ave, Charleston, SC 29401 Phone: 843-577-2674 Fax: 843-577-5170 |