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

Dr. Jay Charles Black, OD

Individual provider Optometrist · NPI 1629113261

Dr. Jay Charles Black, OD is an Optometrist in Loves Park, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5316 N Second St
Loves Park, IL 61111-5009
Phone: (815) 877-6551
Fax: (815) 877-4821
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 466709 (IL)

Record details

NPI number1629113261
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5316 N Second Street, Loves Park, IL 61111-5009

Other providers in Loves Park