DR. DOUGLAS KEITH BLACK (O.D.) – Optometrist, NPI 1255372363
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
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Provider Addresses for DR. DOUGLAS KEITH BLACK (O.D.)
1872, Chimney Creek Place, Sarasota County, Florida, 34235, United States
SARASOTA, FL 342351820
Phone: (941) 342-1363
Type: Mailing
5350, Gulf of Mexico Drive, Longboat Key, Manatee County, Florida, 34228, United States
SUITE #202
LONGBOAT KEY, FL 342282069
Phone: (941) 387-8772
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $654.
Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: RxSight Inc ($136).
Total Amount
$654
General + Research + Ownership
Payments
13
Total payment records
General Amount
$654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| RxSight Inc | $136 |
| Amgen Inc. | $122 |
| Johnson & Johnson Surgical Vision, Inc. | $109 |
| Alcon Vision LLC | $106 |
| Horizon Therapeutics plc | $99 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041207000725 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 213 | 213 | $0 |
| 92004 | New patient complete exam of visual system | 71 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 47 | $0 |
| 92133 | Imaging of optic nerve | 48 | 40 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 29 | 20 | $0 |
Insurance plans in this area (ZIP 34235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL |
Reviews
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