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

MATTHEW BLACK, OD

Active

MATTHEW BLACK, OD is a Optometrist healthcare provider located in COMSTOCK PARK, Michigan. NPI 1124512447 is currently active in the NPPES registry. Verify at CMS.

Optometrist · COMSTOCK PARK, MI

Registration Details

NPI Number
1124512447
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2018 (8.1270037739119 yrs)
Last Updated
Sep 8, 2020
License
4901005112 (MI)

Practice Information

Address
3901 ALPINE AVE NW
COMSTOCK PARK, MI, 493218350
Browse MI providers · Browse ZIP 49321
Phone
6166472213
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in COMSTOCK PARK, MI

Name Credential NPI
DR. KEITH RONALD MOULDS OD 1487645065
JAMES P PATYI OD 1548345630
DR. JEFFREY MICHAEL THOMPSON O.D. 1659434389
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.