LIESL BLACK, O.D.
Optometrist
Active
Individual
NPI: 1912529512
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 4901005440 (MI) |
Frequently Asked Questions
NPI 1912529512 is the National Provider Identifier for LIESL BLACK, O.D., a Optometrist provider located in Casco, MI. This NPI was enumerated on May 18, 2020.
LIESL BLACK, O.D. practices at 3443 COUNTY LINE RD, Casco, MI 48064.
Quick Facts
- NPI
- 1912529512
- Type
- Individual
- Enumerated
- May 18, 2020
- Last Updated
- May 28, 2024
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