KERRY CHILDERS, O.D., P.A.
NPI 1568597409
Optometrist - Corneal and Contact Management in Wynne, AR

Q: What is Kerry Childers, O.D., P.A.'s NPI number?

The NPI number for Kerry Childers, O.D., P.A. is 1568597409. It was assigned to this organization in the NPPES registry on February 22, 2007.

Q: What is Kerry Childers, O.D., P.A.'s specialty?

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

Active since February 22, 2007

618 JULIA AVE E, WYNNE, AR 72396(870) 238-9407(870) 238-4320 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kerry Childers, O.d., P.a. NPPES

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

KERRY CHILDERS, O.D., P.A. (NPI 1568597409) is a healthcare organization registered as a corneal and contact management in Wynne, Arkansas and active in the NPI registry since February 2007. The organization lists Kerry Childers, Optometric Physician, as its authorized official.

NPPES Registry Identity

NPI1568597409

Entity TypeOrganization

Primary Taxonomy152WC0802X

Legal Business NameKERRY CHILDERS, O.D., P.A.

Location Address618 JULIA AVE EWynne, AR 72396-3504

Mailing AddressPo Box 562Wynne, AR 72396 · (870) 238-9407 · Fax (870) 238-4320

Phone(870) 238-9407

Fax(870) 238-4320

Organization SubpartNo

Authorized OfficialKerry ChildersOptometric Physician · (870) 238-9407

Enumeration DateFebruary 22, 2007

Last NPPES UpdateApril 6, 2009

✔ NPI 1568597409 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.

618 JULIA AVE E, Wynne, AR 72396

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Other Identifiers 4

Medicare NSC0335220001AR

Medicare PIN5C990AR

Medicare ID-Type Unspecified5C990AR · Bcbs Group

Medicaid110249722AR

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 Kerry Childers, O.D., P.A.'s NPI number?

The NPI number for Kerry Childers, O.D., P.A. is 1568597409. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Kerry Childers, O.D., P.A. located?

Kerry Childers, O.D., P.A. is located at 618 Julia Ave E, Wynne, AR 72396. The listed phone number is (870) 238-9407.

What is Kerry Childers, O.D., P.A.'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, O.D., P.A. was last updated on April 6, 2009. 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.