Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902915671 Individual Practitioner Male Practitioner

Dr. Charles E Mccollum , OD

Optometrist • Marion, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Charles Mccollum, OD is a registered healthcare professional specializing in Optometrist in Marion, IL. Official NPI practice address is registered at 1302 ENTERPRISE WAY.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient problem focused exam of visual system, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1302 Enterprise Way

Marion, IL 62959

Telephone 6189976922
Fax 6189933561

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
23 Specialists

Practicing in Marion, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
53 53 $99.81 $99.81
92012 Established patient problem focused exam of visual system
14 11 $77.50 $76.70

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046006995

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IL 047-006995

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2011

Registered at 1302 ENTERPRISE WAY, MARION, IL 62959 (Tel: 6189976922)

📍
Updated Business Mailing Address October 15, 2011

Registered at 1302 ENTERPRISE WAY, PO BOX 1754, MARION, IL 62959 (Tel: 6189976922)

👤
Provider Name / Credentials Updated October 15, 2011

Recorded as CHARLES MCCOLLUM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2011

Optometrist (License #046006995 in IL)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902915671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: October 15, 2011
Sole Proprietor: Yes

Mailing Address

1302 Enterprise Way, Po Box 1754

Marion, IL 62959

Phone: 6189976922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.