Derek Alan Black, O.D.
NPI 1114353232ActiveIndividual· Optometrist· Cumming, GA
Optometrist (O.D.) in Cumming, Georgia, trained at Southern College of Optometry (class of 2013). 70 Medicare patients in 2024, $12,395 paid; nearly all of their 80 Part D prescriptions were generic (90%). Alcon Vision LLC reported $153.52 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1114353232 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Sep 20, 2013 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Oct 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPT002922 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 188 across 16 procedure codes |
| Paid by Medicare | $12,395 |
Part D prescriptions in 2024
| Prescriptions (claims) | 80 · 95 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $662.24 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Southern College of Optometry |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Optometry |
Medical group
- Lake Lanier Eye Care, LLCSugar Hill, GA · 2 clinicians
Industry payments (Open Payments)
- 2025$153.52 · 2 payments from 1 company
- 2024$44.17 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $153.52 | 2 |
What the 2025 payments were for
- Food and Beverage$153.52 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 60 optometrists in Cumming · All optometrists in Georgia