Douglas K Black Od Pa | |
5350 Gulf Of Mexico Dr, Suite 202, Longboat Key, FL 34228-2069 | |
(941) 387-8772 | |
(941) 387-8779 |
Full Name | Douglas K Black Od Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5350 Gulf Of Mexico Dr, Longboat Key, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477735611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC3563 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Douglas K Black Od Pa 5350 Gulf Of Mexico Dr, Suite 202, Longboat Key, FL 34228-2069 Ph: (941) 387-8772 | Douglas K Black Od Pa 5350 Gulf Of Mexico Dr, Suite 202, Longboat Key, FL 34228-2069 Ph: (941) 387-8772 |
Dr. John K Fusselman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3281 Bayou Sound, Longboat Key, FL 34228 Phone: 407-620-5356 | |
Dr. Douglas Keith Black, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5350 Gulf Of Mexico Dr, Suite #202, Longboat Key, FL 34228 Phone: 941-387-8772 |