NPI 1003828534

Robert J Black, OD

Practitioner Optometrist Charleston, SC

Practice location

Address: 171 Ashley Ave, Charleston, SC 29425-0001
Phone: (843) 792-1414
Mailing address: PO Box 751461, Charlotte, NC 28275-1461

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1201 (SC)

Other Optometrist providers in South Carolina →

Registry record

NPI: 1003828534
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2006
Record last updated: 8 Jul 2007

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.