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DAVID BLACK O.D.
NPI 1902191620
Optometrist in Phoenix, AZ

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
6031 N 16TH ST STE 3, PHOENIX, AZ 85016(602) 234-7904(602) 875-0248 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Mar 11, 2019 (2 updates tracked since 2019).

About David Black O.d. NPPES

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

DAVID BLACK O.D. (NPI 1902191620) is an individual optometrist in Phoenix, Arizona, licensed in Arizona (OPT-001776) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern College Of Optometry (2010).

NPPES Registry Identity

NPI1902191620
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID BLACKCredential: O.D.
Location Address6031 N 16TH ST STE 3Phoenix, AZ 85016-1805
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(602) 234-7904
Fax(602) 875-0248
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2010
Enumeration DateJune 10, 2011
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1902191620 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 AZ · OPT-001776
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.
6031 N 16TH ST STE 3, Phoenix, AZ 85016
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Secondary Practice Locations 2

Location 11831 E Camelback Rd Ste B2Phoenix, AZ 85016-4162 · Phone (602) 234-7904 · Fax (602) 875-0248
Location 27333 W Thomas Rd Ste 18Phoenix, AZ 85033-5547 · Phone (623) 247-0777 · Fax (623) 849-1283

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 and accepts Medicare assignment

David Black O.d. 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 ID345480372
PECOS Enrollment IDI20130715000658
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 2

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.
58 services57 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

MYEYEDR OPTOMETRY OF WASHINGTON, PLLC
Optometrist
6031 N 16TH ST STE 3
PHOENIX, AZ 85016
Maricopa County (602) 234-7904
DR. LJILJANA ALEKSIC OD
Optometrist
6031 N 16TH ST STE 3
PHOENIX, AZ 85016
Maricopa County (602) 234-7904

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 David Black's NPI number?

The NPI number for David Black is 1902191620. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is David Black located?

David Black practices at 6031 N 16th St Ste 3, Phoenix, AZ 85016. The listed phone number is (602) 234-7904.

What is David Black's specialty?

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

Is David Black enrolled in Medicare?

Yes. David 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 David Black accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list David 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 David Black was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.