CRAIG M. DECLARK, O.D.,P.C.
NPI 1295855385
Optometrist in Chicago, IL

Q: What is Craig M. Declark, O.D.,p.C.'s NPI number?

The NPI number for Craig M. Declark, O.D.,p.C. is 1295855385. It was assigned to this organization in the NPPES registry on March 30, 2007.

Q: What is Craig M. Declark, O.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 30, 2007

6336 W GUNNISON ST, CHICAGO, IL 60630(773) 763-4666(773) 763-4967 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Craig M. Declark, O.d.,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG M. DECLARK, O.D.,P.C. (NPI 1295855385) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since March 2007. The organization lists Craig Matthew Declark, President, as its authorized official.

NPPES Registry Identity

NPI1295855385

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCRAIG M. DECLARK, O.D.,P.C.

Location Address6336 W GUNNISON STChicago, IL 60630-2954

Mailing Address6336 W Gunnison StChicago, IL 60630-2954 · (773) 763-4666 · Fax (773) 763-4967

Phone(773) 763-4666

Fax(773) 763-4967

Organization SubpartNo

Authorized OfficialCraig Matthew DeclarkPresident · (773) 763-4666

Enumeration DateMarch 30, 2007

Last NPPES UpdateMay 19, 2008

✔ NPI 1295855385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046-007272

Definition

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.

6336 W GUNNISON ST, Chicago, IL 60630

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Other Identifiers 4

Medicare PIN410047996

Medicare UPINT37614

Medicare NSC0475750001

Medicare PIN613510

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig M. Declark, O.d.,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Craig M. Declark, O.D.,p.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Declark, O.D.

Optometry

NPI 1033101993

6336 W GUNNISON ST
Chicago, IL 60630

(773) 763-4666

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig M. Declark, O.D.,p.C.'s NPI number?

The NPI number for Craig M. Declark, O.D.,p.C. is 1295855385. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Craig M. Declark, O.D.,p.C. located?

Craig M. Declark, O.D.,p.C. is located at 6336 W Gunnison St, Chicago, IL 60630. The listed phone number is (773) 763-4666.

What is Craig M. Declark, O.D.,p.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Craig M. Declark, O.D.,p.C. enrolled in Medicare?

Yes. Craig M. Declark, O.D.,p.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Craig M. Declark, O.D.,p.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Craig M. Declark, O.D.,p.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Craig M. Declark, O.D.,p.C. accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Craig M. Declark, O.D.,p.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig M. Declark, O.D.,p.C. was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.