IndividualActive
Evan Black, MD
NPI 1932185089 · Ophthalmic Plastic and Reconstructive Surgery Physician · Detroit, MI
Provider details
- NPI number
- 1932185089
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301071533 (MI)
Practice location
4717 St. Antoine
Kresge Eye Institute
Detroit, MI 48201-1423
Phone: (313) 577-8900
Fax: (313) 577-0700
Mailing address
1560 E Maple Rd
Troy, MI 48083-1138
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2025-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.