Individual
DR. JOSHUA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
241 CORPORATE BLVD, NORFOLK, VA 23502-4975
(757) 742-3902
Mailing address
200 SE 15TH RD APT 4K, MIAMI, FL 33129-1161
(757) 952-9824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003243
VA
152WV0400X
Vision Therapy Optometrist
OPC6120
FL
Other
Enumeration date
06/30/2022
Last updated
07/07/2023
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