IndividualActive
Carl Childress, O.D.
NPI 1801902606 · Sports Vision Optometrist · Longview, TX
Provider details
- NPI number
- 1801902606
- Entity type
- Individual
- Primary specialty
- Sports Vision OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1892 (TX)
Practice location
408 E Magrill St
Longview, TX 75601-6444
Phone: (903) 753-4436
Fax: (903) 757-4400
Mailing address
408 Magrill Street
Longview, TX 75601-6444
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.