RONALD V. BLACK O.D. NPI 1821032442

NPI Information

  • NPI: 1821032442
  • Provider Name: RONALD V. BLACK, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 N BRAND BLVD
    SUITE 110
    GLENDALE, CA
    ZIP 91203
  • Phone: (818) 240-0890

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NPI Details

Ronald V. Black, O.D. is an optometrist in Glendale, CA with 34 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Ronald V. Black, O.D. NPI is 1821032442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduation Year:1992

The provider's business location address is:

330 N BRAND BLVD
SUITE 110
GLENDALE, CA
ZIP 91203-308
Phone: (818) 240-0890
Fax: (818) 246-2540

The NPI 1821032442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/15/2006 and was last updated on 9/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOPT9869TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OPT9869TOTHERCALIFORNIAOPTOMETRY LICENSE
26191070001OTHERCALIFORNIADME MACS PTAN
3BF492AMEDICARE PINCALIFORNIA
4DP2509MEDICARE PINCALIFORNIA
5BP770ZMEDICARE PINCALIFORNIA
61306035118MEDICAIDCALIFORNIA
7P00741249MEDICARE PINCALIFORNIA
81821032442OTHERCALIFORNIANPI
9BR184MEDICARE PINCALIFORNIA
10BP770MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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