MATTHEW BLACK OD
NPI 1124512447
Optometrist in Comstock Park, MI

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
3901 ALPINE AVE NW, COMSTOCK PARK, MI 49321(616) 647-2213 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2020, Sep 3, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Matthew Black Od NPPES

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

MATTHEW BLACK OD (NPI 1124512447) is an individual optometrist in Comstock Park, Michigan, licensed in Michigan (4901005112) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2018).

NPPES Registry Identity

NPI1124512447
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW BLACKCredential: OD
Location Address3901 ALPINE AVE NWComstock Park, MI 49321-8350
Mailing Address3901 Alpine Ave NwComstock Park, MI 49321-8350 · (616) 647-2213
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateSeptember 8, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1124512447 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 MI · 4901005112
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.
3901 ALPINE AVE NW, Comstock Park, MI 49321

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Black Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284989674
PECOS Enrollment IDI20180627000095
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49321 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 8

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

Pharmacist
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Optometrist
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Hearing Instrument Specialist
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Pharmacy (Community/Retail Pharmacy)
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Optometrist
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Pharmacist
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Pharmacist
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321
Eyewear Supplier
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321

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 Matthew Black's NPI number?

The NPI number for Matthew Black is 1124512447. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Matthew Black located?

Matthew Black practices at 3901 Alpine Ave NW, Comstock Park, MI 49321. The listed phone number is (616) 647-2213.

What is Matthew Black's specialty?

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

Is Matthew Black enrolled in Medicare?

Yes. Matthew Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Black accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Matthew 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 Matthew Black was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.