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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kerry K Childers, O.D.

Corneal and Contact Management Optometrist in Wynne, AR · enumerated 2006 · practices at Childers and Jackson Family Eye Care Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114906310

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Registry record

Entity type Individual (Type 1)
Name Dr. Kerry K Childers
Credential O.D.
Sex Male
Practice address Wynne, AR, 72396
Fax (870) 238-4320
Enumeration date Jan 16, 2006
Last updated in NPPES Mar 17, 2015

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152WC0802X Corneal and Contact Management Optometrist Eye and Vision Services Providers · License 2038 (AR) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
102042722 Medicaid AR -
64772430001 Other AR PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kerry Childers's NPI record?
Cross-check NPI 1114906310 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1114906310 active?
Yes, as of the latest NPPES snapshot, NPI 1114906310 is active (record last updated 2015-03-17).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-17.