Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry N Black Surgical Suite

Organization Ophthalmology Physician · NPI 1992896310

Jerry N Black Surgical Suite is an Ophthalmology Physician in Buckhannon, West Virginia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

10 Amalia Dr
Buckhannon, WV 26201
Phone: (304) 472-2100
Fax: (304) 472-2118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1992896310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norma Haymond — Administrator · (304) 472-2100
NPI enumeratedSeptember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10 Amalia Drive, Buckhannon, WV 26201

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