Daryl G. Custred, O.D.

Optometrist · Jasper, AL

Individual Active NPI

NPI number 1215047097

Practice location

1499 N Airport Rd
Jasper, AL 35504-8882
Phone
(205) 221-3721
Fax
(205) 221-2748

Open in Google Maps

NPI record

NPI
1215047097
Entity type
Individual (Type 1)
Enumeration date
August 30, 2006
Last updated
November 11, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X S-505-TA-126 AL

About Dr. Custred

Daryl G. Custred, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 1499 N Airport Rd, Jasper, AL 35504-8882. The NPI number 1215047097 was assigned on August 30, 2006 and the record was last updated on November 11, 2010.

Dr. Custred lists a license in the registry: #S-505-TA-126 (AL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daryl G. Custred, O.D.?

The NPI number is 1215047097.

What is the phone number of Dr. Custred?

The phone number listed for the practice location is (205) 221-3721.

Where is Dr. Custred located?

1499 N Airport Rd, Jasper, AL 35504-8882.

What is the taxonomy code for Dr. Custred?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Optometrist providers in Jasper

All Optometrist providers in Jasper, AL →