Black, James B

Black, James B is an individual health care provider with primary practice located at 114 S Tryon St , Charlotte NC 28202-2149. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Black, James B can be contacted via phone (704) 377-5963.

Contact Information

Primary practice address
114 S Tryon St Charlotte NC 28202-2149
Phone: (704) 377-5963
Fax: (704) 375-4003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 776 North Carolina

Profile Details

NPI number 1326012741
LBN Legal business name Black, James B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326012741 NPPES
North Carolina MEDICAID 8909105
North Carolina Other 4285047

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