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WIREGRASS EYE CARE OF OZARK, PC
NPI 1205598737
Optometrist in Ozark, AL

Active since October 12, 2021
231 E BROAD ST, OZARK, AL 36360(334) 443-1260 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2022, Jan 25, 2022, Oct 12, 2021 (3 updates tracked since 2021).

About Wiregrass Eye Care Of Ozark, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIREGRASS EYE CARE OF OZARK, PC (NPI 1205598737) is a healthcare organization registered as an optometrist in Ozark, Alabama and active in the NPI registry since October 2021. The organization lists Giselle Pacheco Childers, Owner, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1205598737
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWIREGRASS EYE CARE OF OZARK, PC
Location Address231 E BROAD STOzark, AL 36360-1507
Mailing Address231 E Broad StOzark, AL 36360-1507 · (334) 443-1260
Phone(334) 443-1260
Organization SubpartNo
Authorized OfficialGiselle Pacheco ChildersOwner, Optometrist · (334) 443-1260
Enumeration DateOctober 12, 2021
Last NPPES UpdateMay 16, 20223 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1205598737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
231 E BROAD ST, Ozark, AL 36360
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wiregrass Eye Care Of Ozark, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20211111001191Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wiregrass Eye Care Of Ozark, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Giselle Childers, OD
Optometry
NPI 1568088722
231 E BROAD ST
Ozark, AL 36360
(334) 566-7172
✔ PECOS✔ Accepts MedicareSame address
Mason Childers, OD
Optometry
NPI 1952926776
6020 BOLL WEEVIL CIR
Enterprise, AL 36330
(334) 347-2732
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wiregrass Eye Care Of Ozark, PC's NPI number?

The NPI number for Wiregrass Eye Care Of Ozark, PC is 1205598737. It was assigned to this organization in the NPPES registry on October 12, 2021.

Where is Wiregrass Eye Care Of Ozark, PC located?

Wiregrass Eye Care Of Ozark, PC is located at 231 E Broad St, Ozark, AL 36360. The listed phone number is (334) 443-1260.

What is Wiregrass Eye Care Of Ozark, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wiregrass Eye Care Of Ozark, PC enrolled in Medicare?

Yes. Wiregrass Eye Care Of Ozark, PC is registered in the Medicare PECOS enrollment system.

When is Wiregrass Eye Care Of Ozark, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wiregrass Eye Care Of Ozark, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Wiregrass Eye Care Of Ozark, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wiregrass Eye Care Of Ozark, PC was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.