Individual
DR. JAMES B BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
114 S TRYON ST, CHARLOTTE, NC 28202-2149
(704) 377-5963
(704) 375-4003
Mailing address
114 S TRYON ST, CHARLOTTE, NC 28202-2149
(704) 377-5963
(704) 375-4003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4285047
AETNA
—
05
—
8909105
—
NC
Enumeration date
02/14/2006
Last updated
07/08/2007
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