Individual provider Active NPI

David Glenn Chandler, O.D.,PC

  • Optometrist
  • Jacksonville, AL
National Provider Identifier
1821029299
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S523TA021 Issued in AL
Practice address
1640 Pelham Rd S
Jacksonville, AL 36265-3312
Phone
(256) 435-6680
Fax
(256) 435-6705
NPI assigned
Jul 5, 2006
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S523TA021 AL Primary

Addresses

Primary practice location

1640 Pelham Rd S
Jacksonville, AL 36265-3312

Mailing address

1640 Pelham Rd S
Jacksonville, AL 36265-3312
Phone (256) 435-6680

Other identifiers 2

IdentifierTypeStateIssuer
000058394MedicaidAL
51058394OtherALBLUE CROSS BLUE SHIELD

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
I20051219000191 AL Practitioner - Optometry 0244259059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David G. Chandler, O.D.,P.C.Group PAC ID 7618996422, 2 clinicians
Oxford Eye Clinic LLCGroup PAC ID 2062800808, 3 clinicians

Practice addresses (Care Compare)

1640 Pelham Rd S
Jacksonville, AL 36265-3312
Phone (256) 435-6680

333 E Choccolocco St
Suite C
Oxford, AL 36203-1225
Phone (256) 831-2040

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
63.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

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, 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1821029299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653312",
            "telephone_number": "256-435-6680",
            "fax_number": "256-435-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653312",
            "telephone_number": "256-435-6680",
            "fax_number": "256-435-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "DAVID",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "O.D.,PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S523TA021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058394",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51058394",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.