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KENNETH CHILDERS P A
NPI 1407069487
Optometrist in Siloam Springs, AR

Active since May 07, 2007
611 S MT OLIVE, SILOAM SPRINGS, AR 72761(479) 524-4231(479) 524-8850 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Childers P A NPPES

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

KENNETH CHILDERS P A (NPI 1407069487) is a healthcare organization registered as an optometrist in Siloam Springs, Arkansas and active in the NPI registry since May 2007. The organization lists Kenneth Childers, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1407069487
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKENNETH CHILDERS P A
Location Address611 S MT OLIVESiloam Springs, AR 72761
Mailing AddressPo Box 159Siloam Springs, AR 72761-0159 · (479) 524-4231 · Fax (479) 524-8850
Phone(479) 524-4231
Fax(479) 524-8850
Organization SubpartNo
Authorized OfficialKenneth ChildersOptometrist · (479) 524-4231
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 8, 2008
✔ NPI 1407069487 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 AR · 2039
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.
611 S MT OLIVE, Siloam Springs, AR 72761
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Other Identifiers 5

Medicaid139158722AR
Medicare NSC0257460001AR
Medicare PIN49125AR
Medicare UPINT20279AR
Other5G041AR · Medicare Group Ptan

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

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 Kenneth Childers P A's NPI number?

The NPI number for Kenneth Childers P A is 1407069487. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Kenneth Childers P A located?

Kenneth Childers P A is located at 611 S Mt Olive, Siloam Springs, AR 72761. The listed phone number is (479) 524-4231.

What is Kenneth Childers P A'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 Kenneth Childers P A was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.