| Frederick T Collison, OD | |
|
3450 Lacey Rd, Downers Grove, IL 60515-5430 | |
| (630) 743-4500 | |
| Not Available |
| Full Name | Frederick T Collison |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 16 Years |
| Location | 3450 Lacey Rd, Downers Grove, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356891022 | NPI | - | NPPES |
| 046.010506 | Other | IL | OPTOMETRY LICENSE |
| 346.003257 | Other | IL | LICENSED OPTOMETRIST CONTROLLED SUBSTANCE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.010506 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Chicago Lighthouse For People Who Are Blind Or Visually Impaired | 2860380805 | 18 |
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Midwestern University | 6305734773 | 118 |
| Provider Name | Northwestern Medical Faculty Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Provider Name | The Chicago Lighthouse For People Who Are Blind Or Visually Impaired |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043326309 PECOS PAC ID: 2860380805 Enrollment ID: O20040310000294 |
| Provider Name | Midwestern University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538445317 PECOS PAC ID: 6305734773 Enrollment ID: O20120521000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick T Collison, OD 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500 | Frederick T Collison, OD 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500 |
Carolyn Dienes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1412 Butterfield Rd, Downers Grove, IL 60515 Phone: 630-627-3001 Fax: 630-627-3021 | |
Henna Asghar, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1402 Butterfield Rd, Butterfield Plaza, Downers Grove, IL 60515 Phone: 630-629-2025 | |
Hardesty Eye Care Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 Highland Ave, Suite 100, Downers Grove, IL 60515 Phone: 630-960-0456 Fax: 630-960-9521 | |
Daniel James Deligio, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Lacy Road, Downers Grove, IL 60515 Phone: 630-743-4500 | |
Dr. Alison Faye Stock, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2934 Finley Rd, Downers Grove, IL 60515 Phone: 630-916-4770 | |
Jessica N Conroy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Lacey Rd, Downers Grove, IL 60515 Phone: 630-743-4500 Fax: 630-743-4537 | |
Dr. Linda S Weil, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515 Phone: 630-960-0456 Fax: 630-960-9521 |