Individual provider · Type 1 NPI

Evan H. Black, MD

Ophthalmic Plastic and Reconstructive Surgery Physician · Detroit, MI

NPI number 1932185089 Active

Practice location

4717 St. Antoine, Kresge Eye Institute
Detroit, MI 48201-1423

Fax (313) 577-0700

Mailing address

1560 E Maple Rd, Suite 400-CREDENTIALING
Troy, MI 48083-1138

Other practice locations

  • 29201 Telegraph Rd Ste 324, Southfield, MI 48034-7646 · (248) 357-5100

Specialties and licenses

TaxonomyCodeLicense
Ophthalmic Plastic and Reconstructive Surgery Physician Primary 207WX0200X4301071533 (MI)

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting struc…

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About NPI 1932185089

Evan H. Black, MD's National Provider Identifier is 1932185089, issued on Dec 21, 2005. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in Detroit, MI. The record was last updated on Jun 5, 2025.