Dr. Derek Alan Black

O.D. | Optometrist | 11+ years Exp


  
1211 Bald Ridge Marina Rd, Cumming
Georgia, 30041-8484

 470-239-6625     470-239-6626Maps & Directions
Dr. Derek Alan Black is a Cumming, Georgia based male Optometrist with 11 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Derek Alan Black is OPT002922 for Optometry in Georgia.
Dr. Derek Alan Black 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Derek Alan Black speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: O.D.
Experience: 11+ years
Medical School Attended:Southern College Of Optometry
Graduation Year:2013
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:1211 Bald Ridge Marina Rd, Cumming,
Georgia, 30041-8484
Phone:470-239-6625
Fax:470-239-6626
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
PAC ID: 9133410848
Enrollment ID: I20160627001622
NPI Number: 1114353232
NPI Enumeration Date: 20 Sep, 2013
NPI Last Update On: 26 Oct, 2020

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Derek Alan Black are as mentioned below.
License NumberSpecializationStateStatus
OPT002922Optometry GeorgiaPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Derek Alan Black has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Eagle View Eye Care Llc (7214348259)4
Lake Lanier Eye Care, Llc (5991019184)2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1211 Bald Ridge Marina Rd,
Cumming, Georgia
Zip: 30041-8484
Phone Number: 470-239-6625
Fax Number: 470-239-6626
Patients can reach Dr. Derek Alan Black at 1211 Bald Ridge Marina Rd, Cumming, Georgia or can call to book an appointment on 470-239-6625. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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