Dr Douglas Keith Black, OD is a medicare enrolled "Optometrist" provider in Longboat Key, Florida. He went to Ohio State University - College Of Optometry and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Center Inc and his current practice location is
5350 Gulf Of Mexico Dr, Suite #202, Longboat Key, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 387-8772.
Dr Douglas Keith Black is licensed to practice in Florida (license number OPC-3563) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255372363.
Healthcare Provider's Profile
| Full Name | Dr Douglas Keith Black |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 29 Years |
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| Location | 5350 Gulf Of Mexico Dr, Longboat Key, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas Keith Black attended and graduated from Ohio State University - College Of Optometry in 1995
NPI Data:
- NPI Number: 1255372363
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254397698
- Enrollment ID: I20041207000725
Medical Identifiers
Medical identifiers for Dr Douglas Keith Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255372363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC-3563 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eye Center Inc | 8325093677 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Douglas Keith Black allows following entities to bill medicare on his behalf.
| Provider Name | Eye Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063589604
PECOS PAC ID: 8325093677
Enrollment ID: O20050318000748 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas Keith Black is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Douglas Keith Black, OD
1872 Chimney Creek Pl,
Sarasota, FL 34235-1820
Ph: (941) 342-1363 | Dr Douglas Keith Black, OD
5350 Gulf Of Mexico Dr, Suite #202,
Longboat Key, FL 34228-2069
Ph: (941) 387-8772 |
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