DARYL G. CUSTRED, O.D., L.L.C.
NPI 1891972352
Optometrist in Jasper, AL

Q: What is Daryl G. Custred, O.D., L.L.C.'s NPI number?

The NPI number for Daryl G. Custred, O.D., L.L.C. is 1891972352. It was assigned to this organization in the NPPES registry on January 28, 2008.

Q: What is Daryl G. Custred, O.D., L.L.C.'s specialty?

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

Active since January 28, 2008

1499 N AIRPORT RD, JASPER, AL 35504(205) 221-3721(205) 221-2748 Get Directions Write a Review

NPPES record last updated: November 14, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Daryl G. Custred, O.d., L.l.c. NPPES

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

DARYL G. CUSTRED, O.D., L.L.C. (NPI 1891972352) is a healthcare organization registered as an optometrist in Jasper, Alabama and active in the NPI registry since January 2008. The organization lists Daryl Glen Custred, Manager, as its authorized official.

NPPES Registry Identity

NPI1891972352

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDARYL G. CUSTRED, O.D., L.L.C.

Location Address1499 N AIRPORT RDJasper, AL 35504-8882

Mailing Address1499 N Airport RdJasper, AL 35504-8882 · (205) 221-3721 · Fax (205) 221-2748

Phone(205) 221-3721

Fax(205) 221-2748

Organization SubpartNo

Authorized OfficialDaryl Glen CustredManager · (205) 221-3721

Enumeration DateJanuary 28, 2008

Last NPPES UpdateNovember 14, 2010

✔ NPI 1891972352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AL · S-505-TA-126

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.

1499 N AIRPORT RD, Jasper, AL 35504

Open in Google Maps ↗

Other Identifiers 4

Other103021AL · Alabama Medicaid

Medicare PIN510G700122AL

OtherDN9352AL · Railroad Medicare

Medicare NSC6082280001AL

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daryl G. Custred, O.d., L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Daryl G. Custred, O.D., L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Daryl Custred, O.D.

Optometry

NPI 1215047097

1499 N AIRPORT RD
Jasper, AL 35504

(205) 221-3721

✔ PECOS0.3 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 Daryl G. Custred, O.D., L.L.C.'s NPI number?

The NPI number for Daryl G. Custred, O.D., L.L.C. is 1891972352. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is Daryl G. Custred, O.D., L.L.C. located?

Daryl G. Custred, O.D., L.L.C. is located at 1499 N Airport Rd, Jasper, AL 35504. The listed phone number is (205) 221-3721.

What is Daryl G. Custred, O.D., L.L.C.'s specialty?

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

Is Daryl G. Custred, O.D., L.L.C. enrolled in Medicare?

Yes. Daryl G. Custred, O.D., L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Daryl G. Custred, O.D., L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Daryl G. Custred, O.D., L.L.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Daryl G. Custred, O.D., L.L.C. was last updated on November 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.