Individual provider Active NPI

Giselle Pacheco Childers, OD

  • Optometrist
  • Ozark, AL
National Provider Identifier
1568088722
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E50 Issued in AL
Practice address
231 E Broad St
Ozark, AL 36360-1507
Phone
(334) 566-7172
NPI assigned
Jun 23, 2020
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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-E50 AL Primary

Addresses

Primary practice location

231 E Broad St
Ozark, AL 36360-1507

Mailing address

996 County Road 57
Skipperville, AL 36374-6863
Phone (305) 803-0825

Other names 1

  • Dr. Giselle Pacheco Childers Other name

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
I20200730000687 AL Practitioner - Optometry 5193140739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Eye Care of Ozark, PCGroup PAC ID 9931598067, 2 clinicians

Practice addresses (Care Compare)

231 E Broad St
Ozark, AL 36360-1507
Phone (305) 803-0825

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E50ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Eye Care of Ozark, PC Optometrist CurrentSince Oct 19, 2021 Accepting new patients

Locations

231 E Broad St
Ozark, AL 36360
Phone (305) 803-0825

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1568088722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 COUNTY ROAD 57",
            "city": "SKIPPERVILLE",
            "state": "AL",
            "postal_code": "363746863",
            "telephone_number": "305-803-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E BROAD ST",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363601507",
            "telephone_number": "334-566-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "GISELLE",
        "middle_name": "PACHECO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E50",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GISELLE",
            "last_name": "CHILDERS",
            "middle_name": "PACHECO",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.