Active NPI
Giselle Pacheco Childers, OD
- Optometrist
- Ozark, AL
National Provider Identifier
1568088722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-E50
- Practice address
- 231 E Broad St
Ozark, AL 36360-1507 - Phone
- (334) 566-7172
- NPI assigned
- Jun 23, 2020
- Last updated
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
231 E Broad St
Ozark, AL 36360-1507
Phone (305) 803-0825
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-E50 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Eye Care of Ozark, PC | Optometrist | Current | 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.
-
- Optometrist
- Ozark, AL
- NPI 1205598737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.