Liesl A Black is a Casco, Michigan based female Optometrist with 4 years of experience in Optometry. She completed her graduation from Illinois College Of Optometry At Chicago in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Liesl A Black is 4901005440 for Optometry in Michigan. Liesl A 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. She 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. She 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:
Liesl A 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:
4+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
2020
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3443 County Line Rd, Casco, Michigan, 48064-1000
Phone:
586-727-8000
Fax:
586-727-8004
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:
7012334659
Enrollment ID:
I20200824002497
NPI Number:
1912529512
NPI Enumeration Date:
18 May, 2020
NPI Last Update On:
28 May, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Liesl A Black are as mentioned below.
License Number
Specialization
State
Status
4901005440
Optometry
Michigan
Primary
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 Liesl A Black has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St Clair Eye Pllc (3577674597)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Liesl A Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1619270972
Other
Michigan
ST CLAIR EYE
1730264995
Other
Michigan
ST CLAIR EYE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1921 Fred W Moore Hwy, Saint Clair, Michigan
Zip:
48079-4702
Phone Number:
810-326-3937
Fax Number:
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Patients can reach Liesl A Black at 3443 County Line Rd, Casco, Michigan or can call to book an appointment on 586-727-8000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.