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Active NPI 1346066024 Individual Practitioner Female Practitioner

Alice Seavon Black , OPTHALMIC ASSISTANT

Technician/Technologist - Ophthalmic Assistant • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Alice Black, OPTHALMIC ASSISTANT is a registered healthcare professional specializing in Technician/Technologist - Ophthalmic Assistant in Tyler, TX. Practice services are available at 428 CENTENNIAL PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

428 Centennial Pkwy

Tyler, TX 757037166

Telephone 9032665900
Fax 9032665914
Associated Practice Facility / Clinic
🏢 Dallas Vamc Facility NPI 1548929540

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Ophthalmic Assistant in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Tyler, TX (31 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

CMS Verified: 2024-11-26
Technician/Technologist - Ophthalmic Assistant Primary Specialty

NUCC Taxonomy Code: 156FX1101X

State License TX 190956

An ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic eye testing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Clarice Mcdaniels , MS, RD, LD

Dietitian, Registered

NPI 1013771492

Master of Science, Registered Dietitian, Licensed Dietitian

Hope Barham , APRN

Registered Nurse - Psychiatric/Mental Health

NPI 1356123327

Advanced Practice Registered Nurse

NPI 1447985767

Licensed Master Social Worker

Dr. Keith Wixtrom , MD

Family Medicine

NPI 1639193246

Doctor of Medicine (M.D.)

Dr. Sarah Samuel , DDS

Dentist - General Practice

NPI 1689863441

Doctor of Dental Surgery

Dr. Christopher Perkins , DO

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1831195106

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2024

Registered at 428 CENTENNIAL PKWY, TYLER, TX 757037166 (Tel: 9032665900)

📍
Updated Business Mailing Address November 27, 2024

Registered at 428 CENTENNIAL PKWY, TYLER, TX 757037166 (Tel: 9032665990)

👤
Provider Name / Credentials Updated November 27, 2024

Recorded as ALICE BLACK, OPTHALMIC ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2024

Technician/Technologist (License #190956 in TX)

🟢
Initial NPI Registration & Enumeration November 27, 2024

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: 1346066024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2024
Last Update: November 27, 2024
Sole Proprietor: No

Mailing Address

428 Centennial Pkwy

Tyler, TX 757037166

Phone: 9032665990

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.