Daryl G. Custred, O.D., L.L.C. in Jasper - Optometrist
Daryl G. Custred, O.D., L.L.C. - NPI 1891972352
Daryl G. Custred, O.D., L.L.C. is a Optometrist in Jasper, Alabama. Daryl G. Custred, O.D., L.L.C. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daryl G. Custred, O.D., L.L.C. is 1891972352. The last update date is 2010-11-14.
Daryl G. Custred, O.D., L.L.C.'s current location address is 1499 N Airport Rd, Jasper, Alabama. You can contact this provider via phone number 2052213721 and fax number 2052212748. The mailing address for Daryl G. Custred, O.D., L.L.C. is 1499 N Airport Rd, Jasper, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Daryl G. Custred, O.D., L.L.C. |
|---|---|
| Address | 1499 N Airport Rd, Jasper, Alabama |
| Phone Number | 2052213721 |
| Fax Number | 2052212748 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Custred Glen Daryl |
| Credentials | OD |
| Telephone Number | 2052213721 |
NPI Number Detail
| NPI Number | 1891972352 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2010-11-14 |
Provider Mailing Address Detail
| Address | 1499 N Airport Rd |
|---|---|
| City | Jasper |
| State | Alabama (AL) |
| Post Code | 355048882 |
| Phone Number | 2052213721 |
| Fax Number | 2052212748 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | S-505-TA-126 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN9352 | AL | RAILROAD MEDICARE | |
| 103021 | AL | ALABAMA MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Daryl G. Custred, O.D., L.L.C. by the Centers for Medicare & Medicaid Services?
The Daryl G. Custred, O.D., L.L.C. has been assigned the NPI (National Provider Identifier) 1891972352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Daryl G. Custred, O.D., L.L.C. is physically located?
The Daryl G. Custred, O.D., L.L.C. is situated at the following address: 1499 N Airport Rd, Jasper, AL 355048882.
What is Daryl G. Custred, O.D., L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Daryl G. Custred, O.D., L.L.C.'s field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Daryl G. Custred, O.D., L.L.C. receive its 1891972352 assignment from the Centers for Medicare & Medicaid Services?
The Daryl G. Custred, O.D., L.L.C. was assigned its 1891972352 on 2008-01-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Daryl G. Custred, O.D., L.L.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Daryl G. Custred, O.D., L.L.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-14.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY