Active NPIIndividual providerSole proprietor

Dr. Herbert T Black, OD

Optometrist in Brattleboro, Vermont

NPI Number1265439723
Practice location
1222 Putney RD, Brattleboro, VT 05301-9000
Fax
—
Last updated
November 10, 2011

Herbert T Black is an Optometrist based in Brattleboro, VT. Herbert T Black practices in Brattleboro, VT and has the professional credentials of OD. The NPI Number for Herbert T Black is 1265439723 and holds a License No. 2081 (CO). The current practice location address for Herbert T Black is 1222 Putney RD, Brattleboro, VT 05301-9000 and can be reached out via phone at 802-254-6900.

Provider Profile Details

NPI Number
1265439723
Provider Name
Herbert T Black
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1222 Putney RD, Brattleboro, VT 05301-9000
Phone Number
802-254-6900
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 30, 2005
Last Update Date
November 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1222 Putney RD
Brattleboro, VT 05301-9000
State
Vermont
Zip
05301-9000
Phone Number
802-254-6900
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
3098 S Ivan Way
Denver, CO 80227-3838
City
Denver
State
CO
Zip
80227-3838
Fax Number
720-218-8741

License Information

License Number (1)
2081
License State (1)
CO
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
030.0069859
License State (2)
VT
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Herbert T Black, OD?

The NPI number of Dr. Herbert T Black, OD is 1265439723. It was assigned on June 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Herbert T Black, OD?

Dr. Herbert T Black, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CO under license number 2081.

Where does Dr. Herbert T Black, OD practice?

The practice location is 1222 Putney RD, Brattleboro, VT 05301-9000. The office can be reached at 802-254-6900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265439723 directly on the NPPES registry website.

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