1. Home
  2. Directory
  3. Texas
  4. Longview
  5. Optometrist
  6. NPI Profile

CHILDRESS VISION CLINIC
NPI 1104003581
Optometrist in Longview, TX

Active since January 28, 2008
408 E MAGRILL ST, LONGVIEW, TX 75601(903) 753-4436(903) 757-4400 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Childress Vision Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDRESS VISION CLINIC (NPI 1104003581) is a healthcare organization registered as an optometrist in Longview, Texas and active in the NPI registry since January 2008. The organization lists Carl Wayne Childress, Owner, as its authorized official.

NPPES Registry Identity

NPI1104003581
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCHILDRESS VISION CLINIC
Location Address408 E MAGRILL STLongview, TX 75601-6444
Mailing Address408 E Magrill StLongview, TX 75601-6444 · (903) 753-4436 · Fax (903) 757-4400
Phone(903) 753-4436
Fax(903) 757-4400
Organization SubpartNo
Authorized OfficialCarl Wayne ChildressOwner · (903) 753-4436
Enumeration DateJanuary 28, 2008
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1104003581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 1892
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
408 E MAGRILL ST, Longview, TX 75601
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN00E14JTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARL W CHILDRESS O.D.
Optometrist (Sports Vision)
408 E MAGRILL ST
LONGVIEW, TX 75601
Gregg County (903) 753-4436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Childress Vision Clinic's NPI number?

The NPI number for Childress Vision Clinic is 1104003581. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is Childress Vision Clinic located?

Childress Vision Clinic is located at 408 E Magrill St, Longview, TX 75601. The listed phone number is (903) 753-4436.

What is Childress Vision Clinic's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Childress Vision Clinic was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.