Individual
DR. DOUGLAS N BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2000 N PLANO RD, SUITE 111, RICHARDSON, TX 75082-4427
(972) 234-3937
(972) 234-3982
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4223T
TX
Other
Enumeration date
12/18/2006
Last updated
01/27/2022
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