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DR. CARL W CHILDRESS O.D.
NPI 1801902606
Optometrist - Sports Vision in Longview, TX

Active since August 22, 2006Opted out of Medicare · through Jan 1, 2027
408 E MAGRILL ST, LONGVIEW, TX 75601(903) 753-4436(903) 757-4400 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl W Childress O.d. NPPES

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

DR. CARL W CHILDRESS O.D. (NPI 1801902606) is an individual sports vision provider in Longview, Texas, licensed in Texas (1892) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801902606
Entity TypeIndividualMale
Primary Taxonomy152WS0006X
Provider Legal NameDR. CARL W CHILDRESSCredential: O.D.
Location Address408 E MAGRILL STLongview, TX 75601-6444
Mailing Address408 Magrill StreetLongview, TX 75601-6444 · (903) 753-4436 · Fax (903) 757-4400
Phone(903) 753-4436
Fax(903) 757-4400
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1801902606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometrist · Sports VisionEye and Vision Services Providers
Taxonomy Code152WS0006X
License✔ Licensed in TX · 1892
Definition
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1892 (TX)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 1892 (TX)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 1892 (TX)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 1892 (TX)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carl W Childress O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CHILDRESS VISION CLINIC
Optometrist
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 Carl Childress's NPI number?

The NPI number for Carl Childress is 1801902606. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Carl Childress located?

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

What is Carl Childress's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Sports Vision, with taxonomy code 152WS0006X.

Is Carl Childress enrolled in Medicare?

No. Carl Childress has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carl Childress was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.