Kevin Jay Childers in Vandalia - Optometrist
Kevin Jay Childers - NPI 1306927181
Kevin Jay Childers is a Optometrist in Vandalia, Illinois. Kevin Jay Childers practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin Jay Childers is 1306927181. The last update date is 2008-05-01.
Kevin Jay Childers's current location address is Po Box 320, Vandalia, Illinois. You can contact this provider via phone number 6182833511 and fax number 6182831815. The mailing address for Kevin Jay Childers is Po Box 320, Vandalia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Jay Childers |
|---|---|
| Address | Po Box 320, Vandalia, Illinois |
| Phone Number | 6182833511 |
| Fax Number | 6182831815 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1306927181 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
| Address | Po Box 320 |
|---|---|
| City | Vandalia |
| State | Illinois (IL) |
| Post Code | 624710320 |
| Phone Number | 6182833511 |
| Fax Number | 6182831815 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 046-007658 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3672C | IL | CATERPILLAR | |
| 2684002 | IL | BLUE CROSS/BLUE SHIELD | |
| 205184 | IL | EYE MED | |
| 46007658 | IL | -- | |
| WPS76001 | IL | ELEC MED PROC | |
| 6182833511 | IL | VSP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Jay Childers by the Centers for Medicare & Medicaid Services?
The Kevin Jay Childers has been assigned the NPI (National Provider Identifier) 1306927181 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kevin Jay Childers is geographically located?
The Kevin Jay Childers is physically situated at the following location: Po Box 320, Vandalia, IL, 624710320.
What is the Kevin Jay Childers's specialty and taxonomy code?
The Kevin Jay Childers's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306927181 to Kevin Jay Childers?
The Kevin Jay Childers received its 1306927181 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date were the details related to Kevin Jay Childers most recently updated or revised?
The information pertaining to Kevin Jay Childers, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-01.
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