| Dr Jay Charles Black, OD | |
|
5316 N Second Street, Loves Park, IL 61111-5009 | |
| (815) 877-6551 | |
| (815) 877-4821 |
| Full Name | Dr Jay Charles Black |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 5316 N Second Street, Loves Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629113261 | NPI | - | NPPES |
| 362871342 | Other | IL | FED ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 466709 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Charles Black, OD 5316 N Second Street, Loves Park, IL 61111-5009 Ph: (815) 877-6551 | Dr Jay Charles Black, OD 5316 N Second Street, Loves Park, IL 61111-5009 Ph: (815) 877-6551 |
Value Eyewear Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5020 N 2nd St, Loves Park, IL 61111 Phone: 815-282-3468 | |
Dr. Donald E Wight, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6256 E Riverside Blvd, Loves Park, IL 61111 Phone: 815-708-7083 Fax: 815-904-6294 | |
Wight Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 6256 E Riverside Blvd, Loves Park, IL 61111 Phone: 815-708-7083 Fax: 815-904-6294 | |
Rockford Eye & Laser Center Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 4301 N Mulford Rd, Loves Park, IL 61111 Phone: 815-227-0077 Fax: 815-227-5886 | |
Mulford Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4301 N Mulford Rd, Loves Park, IL 61111 Phone: 815-282-5500 Fax: 815-633-2305 | |
Dr. Jeffrey Allan Dannatt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5020 N 2nd St, Loves Park, IL 61111 Phone: 815-282-3468 Fax: 815-708-0182 | |
Dr. Roger H Hill, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4301 N Mulford Rd, Loves Park, IL 61111 Phone: 815-282-5500 Fax: 815-633-2305 |