CHARLES D ALLGOOD, OD, Optometrist CENTREVILLE, AL

Contact Information

CHARLES D ALLGOOD, OD

223 PIERSON AVE
CENTREVILLE, AL 35042-2919

Phone: 205-926-4816
Fax: 888-803-4916
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optometrist	152W00000X	41	Optometry

Indicates primary specialty

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NPI Profile & details for CHARLES D ALLGOOD · (Male)

NPI #	`1164532297`
Status	Active
Credentials	OD (Doctor of Optometry)
Entity	Individual
Enumeration date	08/30/2006
Last updated	09/18/2024 - More than a year ago
Sole proprietor ¹	Yes
Identifiers	AL License # S-374-TA-005 AL Medicaid 000059437 AL Other S-374-TA-005 AL LICENSE AL Other 63-0782398 FEDERAL TAX ID
Hospital affiliation(s)	BIBB MEDICAL CENTER - (Acute Care) 208 PIERSON AVE CENTREVILLE, AL 35042

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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