DR. CHARLES E MCCOLLUM O.D.
NPI 1902915671
Optometrist in Marion, IL

Q: What is Charles Mccollum's NPI number?

The NPI number for Charles Mccollum is 1902915671. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Charles Mccollum'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 Charles Mccollum was last updated on October 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 29, 2006PECOS Enrolled

1302 ENTERPRISE WAY, MARION, IL 62959(618) 997-6922(618) 993-3561 Get Directions Write a Review

NPPES record last updated: October 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles E Mccollum O.d. NPPES

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

DR. CHARLES E MCCOLLUM O.D. (NPI 1902915671) is an individual optometrist in Marion, Illinois, licensed in Illinois (046006995) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902915671

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CHARLES E MCCOLLUMCredential: O.D.

Location Address1302 ENTERPRISE WAYMarion, IL 62959

Mailing Address1302 Enterprise Way, Po Box 1754Marion, IL 62959 · (618) 997-6922

Phone(618) 997-6922

Fax(618) 993-3561

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateOctober 15, 2011

✔ NPI 1902915671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in IL · 046006995✔ Licensed in IL · 047-006995

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.

1302 ENTERPRISE WAY, Marion, IL 62959

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Other Identifiers 3

Medicare UPINU28105IL

Medicare ID-Type Unspecified612720

Medicare UPINU28105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles E Mccollum O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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 Charles Mccollum's NPI number?

The NPI number for Charles Mccollum is 1902915671. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Charles Mccollum located?

Charles Mccollum practices at 1302 Enterprise Way, Marion, IL 62959. The listed phone number is (618) 997-6922.

What is Charles Mccollum's specialty?

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

Is Charles Mccollum enrolled in Medicare?

Yes. Charles Mccollum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Mccollum was last updated on October 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.