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LIESL A BLACK O.D.
NPI 1912529512
Optometrist in Casco, MI

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
3443 COUNTY LINE RD, CASCO, MI 48064(586) 727-8000(586) 727-8004 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liesl A Black O.d. NPPES

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

LIESL A BLACK O.D. (NPI 1912529512) is an individual optometrist in Casco, Michigan, licensed in Michigan (4901005440) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Clair, and is a graduate of Illinois College Of Optometry At Chicago (2020).

NPPES Registry Identity

NPI1912529512
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLIESL A BLACKCredential: O.D.
Location Address3443 COUNTY LINE RDCasco, MI 48064-1000
Mailing Address1921 Fred W Moore HwySaint Clair, MI 48079-4702 · (810) 326-3937
Phone(586) 727-8000
Fax(586) 727-8004
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2020
Enumeration DateMay 18, 2020
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 18, 2020
✔ NPI 1912529512 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 · 4901005440
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.
3443 COUNTY LINE RD, Casco, MI 48064
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Secondary Practice Location 1

Location 11921 Fred W Moore HwySaint Clair, MI 48079-4702 · Phone (810) 326-3937 · Fax (810) 326-0584

Other Identifiers 2

Other1619270972MI · St Clair Eye
Other1730264995MI · St Clair Eye

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 and accepts Medicare assignment

Liesl A 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 ID7012334659
PECOS Enrollment IDI20200824002497
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 3

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
60 services59 patients
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.
39 services39 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
36 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48064 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 2

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

MS. LINDSEY ELLICOTT-GASTA O.D.
Optometrist
3443 COUNTY LINE RD
CASCO, MI 48064
St. Clair County (586) 727-8000
ST CLAIR EYE PLLC
Optometrist
3443 COUNTY LINE RD
CASCO, MI 48064
St. Clair County (586) 727-8000

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 Liesl Black's NPI number?

The NPI number for Liesl Black is 1912529512. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Liesl Black located?

Liesl Black practices at 3443 County Line Rd, Casco, MI 48064. The listed phone number is (586) 727-8000.

What is Liesl Black's specialty?

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

Is Liesl Black enrolled in Medicare?

Yes. Liesl 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 Liesl Black accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, 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 Liesl 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 Liesl Black was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.