BRANDON CALLOW O.D.
NPI 1639522642
Optometrist in Fort Wayne, IN

Q: What is Brandon Callow's NPI number?

The NPI number for Brandon Callow is 1639522642. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Q: What is Brandon Callow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Callow was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment

9610 LIMA ROAD, SUITE 103, FORT WAYNE, IN 46818(260) 440-8388(260) 999-5645 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Jul 14, 2016 (2 updates tracked since 2016).

On this page

About Brandon Callow O.d. NPPES

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

BRANDON CALLOW O.D. (NPI 1639522642) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18003992A) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1639522642

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameBRANDON CALLOWCredential: O.D.

Location Address9610 LIMA ROAD, SUITE 103Fort Wayne, IN 46818-9998

Mailing Address9610 Lima Road Suite 103Fort Wayne, IN 46818 · (260) 440-8388 · Fax (260) 999-5645

Phone(260) 440-8388

Fax(260) 999-5645

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2016

Enumeration DateJuly 14, 2016

Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1639522642 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 IN · 18003992A

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.

9610 LIMA ROAD, Fort Wayne, IN 46818

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandon Callow O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365736048

PECOS Enrollment IDI20160803000551

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Brandon Callow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northside Eye Center LLC

Same address

Optometrist

9610 LIMA ROAD, SUITE 103
Fort Wayne, IN 46818

Reassigned Medicare billing, Indiana enrollment

NPI 1770266322 (260) 440-8388

Aeg Indiana Professional PC

35 mi

Optometrist

2250 N POINTE DR
Warsaw, IN 46582

Reassigned Medicare billing, Indiana enrollment
44 clinicians in this Medicare group

NPI 1043944127 (574) 267-3515

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46818 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEVATE CHIROPRACTIC LLC

Chiropractor

9610 LIMA ROAD, SUITE 104
FORT WAYNE, IN 46818

Allen County (260) 209-5568

NORTHSIDE EYE CENTER LLC

Optometrist

9610 LIMA ROAD, SUITE 103
FORT WAYNE, IN 46818

Allen County (260) 440-8388

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 Brandon Callow's NPI number?

The NPI number for Brandon Callow is 1639522642. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Brandon Callow located?

Brandon Callow practices at 9610 Lima Road Suite 103, Fort Wayne, IN 46818. The listed phone number is (260) 440-8388.

What is Brandon Callow's specialty?

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

Is Brandon Callow enrolled in Medicare?

Yes. Brandon Callow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brandon Callow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Callow reassigns Medicare benefits to 2 organizations: Northside Eye Center LLC (Fort Wayne, IN) and Aeg Indiana Professional PC (Warsaw, IN). Each 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 Brandon Callow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Callow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Brandon Callow 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 Brandon Callow was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.