Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Jay Charles Black, OD
Optometrist in Loves Park, IL · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1629113261
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Jay Charles Black
Credential OD
Sex Male
Practice address 5316 N Second Street, Loves Park, IL, 61111
Phone (815) 877-6551
Fax (815) 877-4821
Enumeration date Feb 21, 2007
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362871342 | Other | IL | FED ID NUMBER |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jay Black practice?
The practice location on file with NPPES is in Loves Park, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jay Black?
The National Provider Identifier (NPI) for Jay Black is 1629113261, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.