MR. WILLIAM THOMAS BLACK OD
NPI 1063591162
Optometrist in Caldwell, ID

Q: What is William Black's NPI number?

The NPI number for William Black is 1063591162. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is William 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 William Black was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 02, 2006PECOS Enrolled

420 E ELM ST, CALDWELL, ID 83605(208) 459-2020(208) 459-2034 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. William Thomas Black Od NPPES

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

MR. WILLIAM THOMAS BLACK OD (NPI 1063591162) is an individual optometrist in Caldwell, Idaho, licensed in Idaho (ID0857) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063591162

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. WILLIAM THOMAS BLACKCredential: OD

Location Address420 E ELM STCaldwell, ID 83605-4846

Mailing Address420 E Elm StCaldwell, ID 83605-4846 · (208) 459-2020 · Fax (208) 459-2034

Phone(208) 459-2020

Fax(208) 459-2034

Sole ProprietorYes

Enumeration DateNovember 2, 2006

Last NPPES UpdateAugust 30, 2012

✔ NPI 1063591162 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 ID · ID0857

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.

420 E ELM ST, Caldwell, ID 83605

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Other Identifiers 3

Medicaid002752500ID

Medicare ID-Type Unspecified1592196

Medicare UPINU33632

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Thomas 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%44 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

LINDSEY ANNE BELTHOFF OD

Optometrist

420 E ELM ST
CALDWELL, ID 83605

Canyon County (208) 459-3366

FAMILY EYECARE SPECIALISTS PLLC

Optometrist

420 E ELM ST
CALDWELL, ID 83605

Canyon County (208) 459-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Black's NPI number?

The NPI number for William Black is 1063591162. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is William Black located?

William Black practices at 420 E Elm St, Caldwell, ID 83605. The listed phone number is (208) 459-2020.

What is William Black's specialty?

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

Is William Black enrolled in Medicare?

Yes. William Black is registered in the Medicare PECOS enrollment system.

What insurance does William Black accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Providence Health Plan and 1 other insurer list William Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Black was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.