National Provider Identifier Database

EVAN H BLACK, MD – NPI #1932185089
Ophthalmic Plastic and Reconstructive Surgery

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 structures of the face and neck.


Contact Information

EVAN H BLACK, MD
4717 ST. ANTOINE
KRESGE EYE INSTITUTE
DETROIT, MI48201-1423
Phone: 313-577-8900
Fax: 313-577-0700
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X

* Indicates primary specialty

NPI Profile & details for EVAN H BLACK

NPI Number 1932185089
Credentials MD
Entity Individual
Enumeration date 12/21/2005
Last updated 06/05/2025 - About 12 months ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301071533
  • MI Medicaid: 3462161
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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