Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK ALAN BLACK, O.D.

Active

DR. DEREK ALAN BLACK, O.D. is a Optometrist healthcare provider located in CUMMING, Georgia. NPI 1114353232 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CUMMING, GA

Registration Details

NPI Number: 1114353232
Provider Type: Individual
Gender: Male
NPI Issued: Sep 20, 2013 (12.875886129043 yrs)
Last Updated: Oct 26, 2020
License: OPT002922 (GA)

Practice Information

Address: 1211 BALD RIDGE MARINA RD

CUMMING, GA, 300418484
Browse GA providers · Browse ZIP 30041
Phone: 4702396625
Fax: 4702396626
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in CUMMING, GA

Name	Credential	NPI
CHARLES W FICCO	O.D.	1841284346
DR. MADALEN ARZUAGA	OD	1659332583
DR. BHARTI BATHIJA-LALA	OD	1336104330
DR. MARK S WIGGERS	OD	1205886058
DR. SUNG KIM	O. D.	1871549733
MR. MICHAEL WAYNE HUNG	OD	1043248214

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.