National Provider Identifier Database

DARYL G CUSTRED OD LLC
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, O.D., L.L.C.
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, O.D., L.L.C.

NPI Number 1891972352
Legal business name
LBN
DARYL G. CUSTRED, O.D., L.L.C.
Authorized official DARYL CUSTRED - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/28/2008
Last updated 11/14/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: S-505-TA-126
  • AL Other: 103021 ALABAMA MEDICAID
  • AL Other: DN9352 RAILROAD MEDICARE

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.

Reviews for DARYL G. CUSTRED, O.D., L.L.C.

There are currently no reviews for DARYL G. CUSTRED, O.D., L.L.C.


NPIdb - Home
v2.201