Active NPI 1629113261 Individual Practitioner Male Practitioner

Dr. Jay Charles Black , OD

Optometrist • Loves Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jay Black, OD is a registered healthcare professional specializing in Optometrist in Loves Park, IL. Practice services are available at 5316 N SECOND STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5316 N Second Street

Loves Park, IL 611115009

Telephone 8158776551

Fax 8158774821

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Loves Park, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.8 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Loves Park, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 466709

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Fed Id Number

362871342 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5316 N SECOND STREET, LOVES PARK, IL 611115009 (Tel: 8158776551)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5316 N SECOND STREET, LOVES PARK, IL 611115009 (Tel: 8158776551)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAY BLACK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #466709 in IL)

🟢

Initial NPI Registration & Enumeration February 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629113261

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 21, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5316 N Second Street

Loves Park, IL 611115009

Phone: 8158776551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.