CHARLES D ALLGOOD NPI 1548434657

NPI Information

NPI: 1548434657
Provider Name: CHARLES D ALLGOOD
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
260 WALNUT ST
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-4816
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CHARLES D ALLGOOD is an eyewear supplier in Centreville, AL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CHARLES D ALLGOOD NPI is 1548434657. The provider is registered as an organization entity type.

The provider's business location address is:

260 WALNUT ST
CENTREVILLE, AL
ZIP 35042-332
Phone: (205) 926-4816

The provider's authorized official is Donna Hicks .
The authorized official title is Insurance Clerk and has the following contact phone number (205) 926-4816.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		S-374-TA-005	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000059437	MEDICAID	ALABAMA
2	=========	OTHER	ALABAMA	FEDERAL TAX ID
3	406183603	OTHER	ALABAMA	RRTRAV
4	S-374-TA-005	OTHER	ALABAMA	AL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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