OrganizationActive
Douglas K Black OD PA
NPI 1477735611 · Optometrist · Longboat Key, FL
Douglas K Black OD PA is a Optometrist organization in Longboat Key, FL (NPI 1477735611).
Provider details
- NPI number
- 1477735611
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Doreen Degirolamo, Billing Manager(941) 751-6583
- License
- OPC3563 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5350 Gulf of Mexico Dr
Suite 202
Longboat Key, FL 34228-2069
Phone: (941) 387-8772
Fax: (941) 387-8779
Street-level locationGet directions
Mailing address
5350 Gulf of Mexico Dr
Longboat Key, FL 34228-2069
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2008-01-10
Frequently asked questions
- What is Douglas K Black OD PA's NPI number?
- Douglas K Black OD PA's National Provider Identifier (NPI) is 1477735611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Douglas K Black OD PA?
- Douglas K Black OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Douglas K Black OD PA located?
- Douglas K Black OD PA's practice location on file with NPPES is 5350 Gulf of Mexico Dr, Longboat Key, FL 34228-2069.
- What is Douglas K Black OD PA's phone number?
- The practice phone number listed in the NPPES registry for Douglas K Black OD PA is (941) 387-8772.
- Who is the authorized official for Douglas K Black OD PA?
- The authorized official listed on Douglas K Black OD PA's NPPES record is Doreen Degirolamo, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Douglas K Black OD PA's NPI active?
- Yes — Douglas K Black OD PA's NPI (1477735611) is active in the NPPES registry as of the last update on 2008-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.