DR. CARL W CHILDRESS O.D. NPI 1801902606

NPI Information

  • NPI: 1801902606
  • Provider Name: DR. CARL W CHILDRESS, O.D.
  • Classification: Optometrist - 152WS0006X
  • Specialization: Sports Vision
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 408 E MAGRILL ST
    LONGVIEW, TX
    ZIP 75601
  • Phone: (903) 753-4436

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NPI Details

DR. Carl W Childress, O.D. is a sports vision optometrist in Longview, TX. The provider is 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. DR. Carl W Childress, O.D. NPI is 1801902606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

408 E MAGRILL ST
LONGVIEW, TX
ZIP 75601-444
Phone: (903) 753-4436
Fax: (903) 757-4400

The NPI 1801902606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/22/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management1892TEXASNo
2152WL0500XOptometristLow Vision Rehabilitation1892TEXASNo
3152WP0200XOptometristPediatrics1892TEXASNo
4152WS0006XOptometristSports Vision1892TEXASYes
5152WV0400XOptometristVision Therapy1892TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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