Dr Daryl G Custred, OD | |
1499 N Airport Rd, Jasper, AL 35504-8882 | |
(205) 221-3721 | |
(205) 221-2748 |
Full Name | Dr Daryl G Custred |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 42 Years |
Location | 1499 N Airport Rd, Jasper, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215047097 | NPI | - | NPPES |
103022 | Other | AL | ALABAMA MEDICAID |
000059727 | Medicaid | AL | |
051546600 | Other | AL | BCBS OF AL |
0555770001 | Other | MEDICARE NSC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S-505-TA-126 (Alabama) | Primary |
Provider Name | Daryl G. Custred, O.d., L.l.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891972352 PECOS PAC ID: 4789760380 Enrollment ID: O20080324000405 |
Mailing Address | Practice Location Address |
---|---|
Dr Daryl G Custred, OD 1499 N Airport Rd, Jasper, AL 35504-8882 Ph: (205) 221-3721 | Dr Daryl G Custred, OD 1499 N Airport Rd, Jasper, AL 35504-8882 Ph: (205) 221-3721 |
Gary E Roquemore, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 904 Highway 78 E, Jasper, AL 35501 Phone: 205-221-6718 Fax: 205-221-7578 | |
David T Wesley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 302 Oakhill Rd, Jasper, AL 35504 Phone: 205-221-7779 Fax: 205-221-8742 | |
Dr. Taibele Karen Wesley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 Oakhill Rd, Ste A, Jasper, AL 35504 Phone: 205-221-7779 Fax: 205-221-8742 | |
Ferris Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 309 19th St E, Jasper, AL 35501 Phone: 205-221-2033 Fax: 205-221-2035 | |
Wesley Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 302 Oakhill Rd, 205 Oakhill Rd, Jasper, AL 35504 Phone: 205-221-7779 Fax: 205-221-8749 | |
Andrea D Sims Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1320 Highway 78 E, Jasper, AL 35501 Phone: 205-221-3937 Fax: 205-221-4417 |