DR. JAY CHARLES BLACK (OD) – Optometrist, NPI 1629113261

DR. JAY CHARLES BLACK (OD) is a healthcare provider. based in Loves park, Illinois. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 466709 (IL). The NPI Number for DR. JAY CHARLES BLACK (OD) is 1629113261

Main info

Male
Name
DR. JAY CHARLES BLACK (OD)
NPI
1629113261
Phone
(815) 877-6551
Address
5316 N SECOND STREET
Enumeration Date
21 February 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JAY CHARLES BLACK (OD)

  • 5316 N SECOND STREET

    LOVES PARK, IL 611115009

    Phone: (815) 877-6551

    Fax: (815) 877-4821

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61111)

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Frequently asked questions

Can I cross-check DR. JAY CHARLES BLACK (OD) using NPI 1629113261?
NPI 1629113261 belongs to DR. JAY CHARLES BLACK (OD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JAY CHARLES BLACK (OD)?
You should see DR. JAY CHARLES BLACK (OD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JAY CHARLES BLACK (OD)?
DR. JAY CHARLES BLACK (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JAY CHARLES BLACK (OD)?
Travel planning: use Loves Park, Illinois as the reference point for DR. JAY CHARLES BLACK (OD), then confirm.
Does DR. JAY CHARLES BLACK (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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