Individual provider Active NPI

Charles D Allgood, OD

  • Optometrist
  • Centreville, AL
National Provider Identifier
1164532297
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-374-TA-005 Issued in AL
Practice address
223 Pierson Ave
Centreville, AL 35042-2919
Phone
(205) 926-4816
Fax
(888) 803-4916
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-374-TA-005 AL Primary

Addresses

Primary practice location

223 Pierson Ave
Centreville, AL 35042-2919

Mailing address

223 Pierson Ave
Centreville, AL 35042-2919
Phone (205) 926-4816

Other identifiers 3

IdentifierTypeStateIssuer
000059437MedicaidAL
S-374-TA-005OtherALAL LICENSE
63-0782398OtherALFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000229 AL Practitioner - Optometry 1951418243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bibb County Eye Care Optometrist CurrentSince Jun 14, 1993 Accepting new patients
The Bibb County Health Care Authority PastSince Jan 1, 2021 Accepting new patients

Locations

223 Pierson Ave
Ste 2332
Centreville, AL 35042
Phone (205) 926-4816

223 Pierson Ave
Centreville, AL 35042
Phone (205) 926-4404

260 Walnut St
Centreville, AL 35042
Phone (205) 926-4697

223 Pierson Ave
#2332
Centreville, AL 35042
Phone (205) 394-1904

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bibb Medical CenterCentreville, AL, CCN 010058 Hospital Corporate Director Jan 1, 2021
Bibb Medical CenterCentreville, AL, CCN 01U058 Hospital Corporate Director Jan 1, 2021
The Bibb County Healthcare AuthorityCentreville, AL, CCN 015215 Skilled nursing facility Managing Control - Governing Body Jan 1, 2021
Bibb Medical AssociatesCentreville, AL, CCN 013976 Rural health clinic Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bibb County Eye Care 2 clinicians

Practice addresses (Care Compare)

223 Pierson Ave
Suite 2332
Centreville, AL 35042-2919

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1164532297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422919",
            "telephone_number": "205-926-4816",
            "fax_number": "205-926-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422919",
            "telephone_number": "205-926-4816",
            "fax_number": "888-803-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-374-TA-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059437",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL LICENSE",
            "identifier": "S-374-TA-005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "63-0782398",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.