CHARLES D ALLGOOD NPI 1548434657

Eyewear Supplier in Centreville, AL

NPI 1548434657 Organization Eyewear Supplier

About CHARLES D ALLGOOD

Charles D Allgood is a provider established in Centreville, Alabama specializing in eyewear supplier. The NPI number of Charles D Allgood is 1548434657 and was assigned on April 2008. The practitioner's primary taxonomy code is 332H00000X with license number S-374-TA-005 (AL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Donna Hicks (Insurance Clerk)

NPI

1548434657

Provider NameCHARLES D ALLGOOD
Provider Location Address260 WALNUT ST CENTREVILLE, AL 35042
Provider Mailing Address260 WALNUT ST CENTREVILLE, AL 35042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-18-2008
Last Update Date06-21-2018


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
License No.S-374-TA-005
License StateAL
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

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

Get Directions


Mailing Address

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



Authorized Official

Authorized Official Name DONNA HICKS
Authorized Official TitleINSURANCE CLERK
Authorized Official Phone(205) 926-4816

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000059437MEDICAID (05)AL
=========OTHER (01)AL
406183603OTHER (01)AL
S-374-TA-005OTHER (01)AL

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164532297 CHARLES D ALLGOOD OD
Individual
Optometrist260 WALNUT ST
CENTREVILLE, AL 35042
(205) 926-4816
1124367529PHIL ADAMS DMD
Organization
Dentist260 WALNUT ST
CENTREVILLE, AL 35042
(205) 926-4697
1316498041CAHABA MEDICAL CARE FOUNDATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))260 WALNUT ST
CENTREVILLE, AL 35042
(205) 926-2992
1851821961DR. CHELSEA MANISCALCO DMD
Individual
Dentist (Dental Public Health)260 WALNUT ST
CENTREVILLE, AL 35042
(205) 926-4697

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.