National Provider Identifier Database

DARYL G CUSTRED, OD – NPI #1215047097
Optometrist

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 systemic conditions affecting the eye.


Contact Information

DARYL G CUSTRED, OD
1499 N AIRPORT RD
JASPER, AL35504-8882
Phone: 205-221-3721
Fax: 205-221-2748
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for DARYL G CUSTRED

NPI Number 1215047097
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/30/2006
Last updated 11/11/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • AL License #: S-505-TA-126
  • AL Medicaid: 000059727
  • Other: 0555770001 MEDICARE NSC
  • AL Other: 103022 ALABAMA MEDICAID
  • AL Other: 051546600 BCBS OF AL
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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