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

NPI #1891972352 in Jasper, Alabama

Provider Information

NPI Number: 1891972352
Entity Type: Organization
Organization Name: Daryl G. Custred, O.d., L.l.c.
Primary Specialty: Optometrist
Enumeration Date: Jan 28, 2008
Last Updated: Nov 14, 2010

Practice Location

Address: 1499 N AIRPORT RD
City: Jasper
State: Alabama
ZIP Code: 35504-8882
Phone: (205) 221-3721

Authorized Official

Name: DR. DARYL GLEN CUSTRED, OD
Title: MANAGER
Phone: (205) 221-3721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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