Individual
CHARLES D ALLGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
223 PIERSON AVE, CENTREVILLE, AL 35042-2919
(205) 926-4816
(888) 803-4916
Mailing address
223 PIERSON AVE, CENTREVILLE, AL 35042-2919
(205) 926-4816
(205) 926-5688
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-374-TA-005
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059437
—
AL
01
—
63-0782398
FEDERAL TAX ID
AL
01
—
S-374-TA-005
AL LICENSE
AL
Enumeration date
08/30/2006
Last updated
09/18/2024
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