GREGORY CHILDRESS (NPI# 1952422958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952422958 |
| Entity Type | Individual |
| Full Name | GREGORY CHILDRESS |
| Practice Address |
1364 Westgate Center Dr Winston Salem NC 27103-2932 |
| Practice Telephone | 3367684140 |
| Practice Fax Number | 3367684487 |
| Mailing Telephone | 3367684140 |
| Mailing Fax Number | 3367684487 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
683 | NC | Eye and Vision Services Providers |
| Street Address |
1364 WESTGATE CENTER DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598729147 | Hawthorne Eye Associates, P.a. | Ophthalmology | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2006-04-12 |
| 1245528520 | Erin Fontaine | Optometrist | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2011-07-20 |
| 1811947567 | James Kent Doub | Optometrist | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857413 | National Vision Inc | Technician/Technologist | 1602 S Stratford Rd Ste 120, Winston Salem, NC 27103-2924 | 2018-10-22 |
| 1487165833 | Curtis Markee Threatt | Technician/Technologist | 2700 Reynolda Rd Apt 1302, Winston Salem, NC 27106-3847 | 2017-10-12 |
| 1912178625 | Larry Eugene Harbin | Technician/Technologist | 1714 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2008-03-20 |
| 1093870909 | Wal-mart Store East, Lp | Technician/Technologist | 1330 W. Clemmnonsville Rd., Winston Salem, NC 27127 | 2006-12-22 |
| 1639276835 | Summit Eye Care, Pa | Technician/Technologist | 1714 S. Hawthorne Road, Winston Salem, NC 27103-4016 | 2006-09-20 |
| 1881865939 | Vicky Bowles Beamon | Technician/Technologist | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-03-17 |
| 1235286360 | Sonja Ann Osborne | Technician/Technologist | 3320 Silas Creek Pkwy, Suite 150, Winston Salem, NC 27103-3031 | 2007-01-04 |
| 1326133562 | Ardmore Opticians Inc | Technician/Technologist | 3001 Maplewood Ave, Winston Salem, NC 27103-4020 | 2006-10-04 |
| 1851482046 | Sam's Club Optical | Technician/Technologist | 284 Summit Square Blvd, Winston Salem, NC 27105-1461 | 2006-09-27 |
| 1679664866 | Sam's Club Optical | Technician/Technologist | 930 Hanes Mall Blvd, Winston Salem, NC 27103-5527 | 2006-09-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on GREGORY CHILDRESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.