OrganizationActive
Black Optical LLC
NPI 1376201715 · Optician · Saint Louis, MO
Provider details
- NPI number
- 1376201715
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Authorized official
- Gary Black, Owner
Practice location
401 N Euclid Ave
Saint Louis, MO 63108-1601
Phone: (314) 367-1848
Fax: (800) 735-4401
Mailing address
401 N Euclid Ave
Saint Louis, MO 63108-1601
Registry dates
- Enumerated
- 2021-12-02
- Last updated
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.