KRISTEN BLACK OD
NPI 1518717867
Optometrist in Jonesboro, AR

Active since March 26, 2024PECOS EnrolledAccepts Medicare Assignment
2100 E HIGHLAND DR STE 100, JONESBORO, AR 72401(870) 972-6040 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2025, Jul 24, 2024, Jul 1, 2024 (3 updates tracked since 2024).

About Kristen Black Od NPPES

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

KRISTEN BLACK OD (NPI 1518717867) is an individual optometrist in Jonesboro, Arkansas, licensed in Arkansas (2883) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2024).

NPPES Registry Identity

NPI1518717867
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKRISTEN BLACKCredential: OD
Location Address2100 E HIGHLAND DR STE 100Jonesboro, AR 72401-5383
Mailing Address2100 E Highland Dr Ste 100Jonesboro, AR 72401-5383 · (870) 972-6040
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2024
Enumeration DateMarch 26, 2024
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1518717867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AR · 2883
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.

2100 E HIGHLAND DR STE 100, Jonesboro, AR 72401

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

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

Kristen 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 ID4981110780
PECOS Enrollment IDI20250718003100
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 72401 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 5

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

Optometrist
2100 E HIGHLAND DR STE 100
JONESBORO, AR 72401
Optometrist
2100 E HIGHLAND DR STE 100
JONESBORO, AR 72401
Optometrist
2100 E HIGHLAND DR STE 100
JONESBORO, AR 72401
Optometrist
2100 E HIGHLAND DR STE 100
JONESBORO, AR 72401
Optometrist
2100 E HIGHLAND DR STE 100
JONESBORO, AR 72401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518717867, enumerated as an "individual" on March 26, 2024.

The provider is located at 2100 E HIGHLAND DR STE 100 JONESBORO, AR 72401 and the phone number is (870) 972-6040.

Optometrist with taxonomy code 152W00000X.