Dr Kenneth C Childers, PA | |
611 S Mount Olive St, Siloam Springs, AR 72761-3603 | |
(479) 524-4231 | |
(479) 524-8850 |
Full Name | Dr Kenneth C Childers |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 611 S Mount Olive St, Siloam Springs, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740266907 | NPI | - | NPPES |
139158722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2039 (Arkansas) | Primary |
Provider Name | Jeffries Eye Clinic Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427142934 PECOS PAC ID: 7517153828 Enrollment ID: O20101129001008 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth C Childers, PA Po Box 159, Siloam Springs, AR 72761-0159 Ph: (479) 524-4231 | Dr Kenneth C Childers, PA 611 S Mount Olive St, Siloam Springs, AR 72761-3603 Ph: (479) 524-4231 |
Dr. Leah Burrows Cate, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 960 S Mount Olive St Ste A, Siloam Springs, AR 72761 Phone: 479-524-5161 Fax: 479-524-8046 | |
William 'greg' Philpott, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 960 A S Mount Olive St, Siloam Springs, AR 72761 Phone: 479-524-5161 Fax: 479-524-8046 | |
Kenneth Childers P A Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 S Mt Olive, Siloam Springs, AR 72761 Phone: 479-524-4231 Fax: 479-524-8850 | |
Siloam Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2901 Highway 412 E, Siloam Springs, AR 72761 Phone: 479-381-0086 | |
Angela Eagle, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2901 Highway 412 E, Siloam Springs, AR 72761 Phone: 479-238-0257 | |
Roberts-philpott Eye Associates, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 960 S Mount Olive St Ste A, Siloam Springs, AR 72761 Phone: 479-524-5161 Fax: 479-524-8046 |