DR. KERRY K CHILDERS O.D.
NPI 1114906310
Optometrist - Corneal and Contact Management in Wynne, AR

Q: What is Kerry Childers's NPI number?

The NPI number for Kerry Childers is 1114906310. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Q: What is Kerry Childers's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Childers was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 16, 2006

723 FALLS BLVD S, STE A, WYNNE, AR 72396(870) 238-2020(870) 238-4320 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kerry K Childers O.d. NPPES

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

DR. KERRY K CHILDERS O.D. (NPI 1114906310) is an individual corneal and contact management provider in Wynne, Arkansas, licensed in Arkansas (2038) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1114906310

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. KERRY K CHILDERSCredential: O.D.

Location Address723 FALLS BLVD S, STE AWynne, AR 72396-3508

Mailing Address723 Falls Blvd S, Ste AWynne, AR 72396-3508 · (870) 238-2020 · Fax (870) 238-4320

Phone(870) 238-2020

Fax(870) 238-4320

Sole ProprietorYes

Enumeration DateJanuary 16, 2006

Last NPPES UpdateMarch 17, 2015

✔ NPI 1114906310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in AR · 2038

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

723 FALLS BLVD S, Wynne, AR 72396

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Other Identifiers 4

Medicaid102042722AR

Medicare NSC0335220001AR

Other64772430001AR · Ptan

Medicare UPINT20126

Other Providers at the Same Location NPPES

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

CHILDERS AND JACKSON FAMILY EYE CARE INC.

Optometrist

723 FALLS BLVD S, STE A
WYNNE, AR 72396

Cross County (870) 238-9407

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 Kerry Childers's NPI number?

The NPI number for Kerry Childers is 1114906310. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Kerry Childers located?

Kerry Childers practices at 723 Falls Blvd S Ste A, Wynne, AR 72396. The listed phone number is (870) 238-2020.

What is Kerry Childers's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Kerry Childers was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.