ROBERT J BLACK OD
NPI 1003828534
Optometrist in Charleston, SC

Q: What is Robert Black's NPI number?

The NPI number for Robert Black is 1003828534. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Robert Black's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2006PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Robert J Black Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J BLACK OD (NPI 1003828534) is an individual optometrist in Charleston, South Carolina, licensed in South Carolina (1201) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003828534

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameROBERT J BLACKCredential: OD

Location Address171 ASHLEY AVECharleston, SC 29425-0001

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateAugust 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003828534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SC · 1201

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

171 ASHLEY AVE, Charleston, SC 29425

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Other Identifiers 2

MedicaidD12010SC

Medicare UPINT47136SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert J Black Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Robert Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates

Same address

Pediatric Emergency Medicine

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1548413453 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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