NPI 1376201715

Black Optical LLC

Organisation Optician Saint Louis, MO

Practice location

Address: 401 N Euclid Ave, Saint Louis, MO 63108-1601
Phone: (314) 367-1848
Fax: (800) 735-4401

Authorised official

Name: Gary Black
Title: Owner
Phone: (314) 367-1848

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1376201715
Entity type: Organization
NPI issued: 2 Dec 2021
Record last updated: 2 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.