Daryl G. Custred, O.D., L.L.C.
NPI 1891972352ActiveOrganization· Optometrist· Jasper, AL
Optometrist in Jasper, Alabama, registered in NPPES in January 2008. The authorized official on file is Daryl Glen Custred, OD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891972352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2008 |
| Last updated in NPPES | Nov 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | S-505-TA-126 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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