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Dr. Jay Charles Black, OD
Optometrist in Loves Park, Illinois
NPI 1629113261

Jay Charles Black is a Optometrist based in Loves Park, IL. Jay Charles Black practices in Loves Park, IL and has the professional credentials of OD. The NPI Number for Jay Charles Black is 1629113261 and holds a License No. 466709 (Illinois).

The current practice location address for Jay Charles Black is 5316 N Second Street, Loves Park, IL and can be reached out via phone at 815-877-6551 and via fax at 815-877-4821. You can also correspond with Jay Charles Black through the mailing address at 5316 N SECOND STREET, LOVES PARK, IL - 61111-5009 (mailing address contact number: 815-877-6551).

Location: 5316 N Second Street, Loves Park, IL, 61111-5009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629113261
Provider Name
Jay Charles Black
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
5316 N Second Street, Loves Park, IL, 61111-5009
Phone Number
815-877-6551
Fax Number
815-877-4821
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362871342 01 IL FED ID NUMBER
institution
Provider Business Practice Location Address Details
Address
5316 N Second Street
City
Loves Park
State
Illinois
Zip
61111-5009
Phone Number
815-877-6551
Fax Number
815-877-4821
person
Provider Business Mailing Address Details
Address
5316 N Second Street
City
Loves Park
State
Illinois
Zip
61111-5009
Phone Number
815-877-6551
Fax Number
815-877-4821
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
466709 (Illinois)
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.
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