DOUGLAS K BLACK OD PA
NPI 1477735611
Optometrist in Longboat Key, FL

Active since November 29, 2007
5350 GULF OF MEXICO DR, SUITE 202, LONGBOAT KEY, FL 34228(941) 387-8772(941) 387-8779 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas K Black Od Pa NPPES

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

DOUGLAS K BLACK OD PA (NPI 1477735611) is a healthcare organization registered as an optometrist in Longboat Key, Florida and active in the NPI registry since November 2007. The organization lists Doreen J Degirolamo, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1477735611
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDOUGLAS K BLACK OD PA
Location Address5350 GULF OF MEXICO DR, SUITE 202Longboat Key, FL 34228-2069
Mailing Address5350 Gulf Of Mexico Dr, Suite 202Longboat Key, FL 34228-2069 · (941) 387-8772 · Fax (941) 387-8779
Fax(941) 387-8779
Organization SubpartNo
Authorized OfficialDoreen J DegirolamoBilling Manager · (941) 751-6583
Enumeration DateNovember 29, 2007
Last NPPES UpdateJanuary 10, 2008
NPI 1477735611 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 FL · OPC3563
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.
5350 GULF OF MEXICO DR, Longboat Key, FL 34228

Other Identifiers 3

Medicare PINK7261FL
Medicare PINE5496YFL
Medicare UPINU57828

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Optometrist
5350 GULF OF MEXICO DR, SUITE #202
LONGBOAT KEY, FL 34228
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
5350 GULF OF MEXICO DR, SUITE 103
LONGBOAT KEY, FL 34228

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 Douglas K Black Od PA's NPI number?

The NPI number for Douglas K Black Od PA is 1477735611. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Douglas K Black Od PA located?

Douglas K Black Od PA is located at 5350 Gulf Of Mexico Dr Suite 202, Longboat Key, FL 34228. The listed phone number is (941) 387-8772.

What is Douglas K Black Od PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas K Black Od PA was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.