DR. Derek Alan Black, O.D.

NPI #1114353232 in Cumming, Georgia

Provider Information

NPI Number
1114353232
Entity Type
Individual
Name
DR. Derek Alan Black, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Sep 20, 2013
Last Updated
Oct 26, 2020

Practice Location

Address
1211 BALD RIDGE MARINA RD
State
Georgia
ZIP Code
30041-8484
Phone
(470) 239-6625

Specialties & Taxonomy Codes

Specialty
Optometrist

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