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JERRY N BLACK SURGICAL SUITE
NPI 1992896310
Ophthalmology in Buckhannon, WV

Active since September 28, 2006
10 AMALIA DRIVE, BUCKHANNON, WV 26201(304) 472-2100(304) 472-2118 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry N Black Surgical Suite NPPES

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

JERRY N BLACK SURGICAL SUITE (NPI 1992896310) is a healthcare organization registered as an ophthalmology in Buckhannon, West Virginia and active in the NPI registry since September 2006. The organization lists Norma L Haymond, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992896310
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJERRY N BLACK SURGICAL SUITE
Location Address10 AMALIA DRIVEBuckhannon, WV 26201
Mailing Address10 Amalia DriveBuckhannon, WV 26201 · (304) 472-2100 · Fax (304) 472-2118
Phone(304) 472-2100
Fax(304) 472-2118
Organization SubpartNo
Authorized OfficialNorma L HaymondAdministrator · (304) 472-2100
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992896310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
10 AMALIA DRIVE, Buckhannon, WV 26201
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Other Identifiers 2

Medicaid0096696001WV
Other1445304Umwa

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

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

KAYLA MARIE HIGGINBOTHAM PA
Physician Assistant
10 AMALIA DRIVE
BUCKHANNON, WV 26201
Upshur County (304) 473-2303

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 Jerry N Black Surgical Suite's NPI number?

The NPI number for Jerry N Black Surgical Suite is 1992896310. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Jerry N Black Surgical Suite located?

Jerry N Black Surgical Suite is located at 10 Amalia Drive, Buckhannon, WV 26201. The listed phone number is (304) 472-2100.

What is Jerry N Black Surgical Suite's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Jerry N Black Surgical Suite was last updated on August 22, 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.