Active NPI
David Glenn Chandler, O.D.,PC
- Optometrist
- Jacksonville, AL
National Provider Identifier
1821029299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S523TA021
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000058394 | Medicaid | AL | |
| 51058394 | Other | AL | BLUE 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
Enrollment records 1
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
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 100
- Quality
- 63.57
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 48 |
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.
-
- Optometrist
- Jacksonville, AL
- NPI 1730226762
-
- Optometrist
- Oxford, AL
- NPI 1891463055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.