Childress, Carl W

Childress, Carl W is an sole proprietor health care provider with primary practice located at 408 E Magrill St , Longview TX 75601-6444. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Childress, Carl W can be contacted via phone (903) 753-4436.

Contact Information

Primary practice address
408 E Magrill St Longview TX 75601-6444
Phone: (903) 753-4436
Fax: (903) 757-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1892 Texas
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1892 Texas
Eye and Vision Services Providers / Pediatrics 152WP0200X 1892 Texas
Eye and Vision Services Providers / Sports Vision 152WS0006X 1892 Texas
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1892 Texas

Profile Details

NPI number 1801902606
LBN Legal business name Childress, Carl W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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