Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN JAY CHILDERS, OD
Active Sole ProprietorDR. KEVIN JAY CHILDERS, OD is a Optometrist healthcare provider located in VANDALIA, Illinois. NPI 1306927181 is currently active in the NPPES registry. Verify at CMS.
Optometrist · VANDALIA, IL
Registration Details
- NPI Number
- 1306927181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.799197471311 yrs)
- Last Updated
- May 1, 2008
- License
-
046-007658 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2202 W RANDOLPH STVANDALIA, IL, 624711946Browse IL providers · Browse ZIP 62471
- Phone
- 6182833511
- Fax
- 6182831815
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in VANDALIA, IL
| Name | Credential | NPI |
|---|---|---|
| MICAH BRASEL | O.D. | 1083924740 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.