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

Liesl A Black, OD

Individual provider Optometrist · NPI 1912529512

Liesl A Black, OD is an Optometry in Casco, Michigan. Graduated from Illinois College of Optometry at Chicago in 2020, 6 years ago. Practices with St Clair Eye PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Illinois College of Optometry at Chicago
Licensed in
MI
In the registry since
2020
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

3443 County Line Rd
Casco, MI 48064-1000
Phone: (586) 727-8000
Fax: (586) 727-8004
Show map & directions

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

Additional practice locations (1)

  • 1921 Fred W Moore Hwy, Saint Clair, MI 48079-4702 — (810) 326-3937

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005440 (MI)

Record details

NPI number1912529512
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 28, 2024
Certification dateMay 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2020 (6 years in practice)
Group practice St Clair Eye Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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