FREDERICK T COLLISON (OD) – Optometrist, NPI 1356891022

FREDERICK T COLLISON (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.010506 (IL). The NPI Number for FREDERICK T COLLISON (OD) is 1356891022

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK T COLLISON (OD)
NPI
1356891022
Phone
(312) 695-8150
Address
259 E Erie St Ste 1520
Enumeration Date
6 October 2016
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6307434500
Graduation Year
2010 (16 years ago)
PAC ID
5395010110
Group Practice PAC ID
6305734773
Professional Enrollment ID
I20171004002658
Address ID
IL605155430DO3450XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for FREDERICK T COLLISON (OD)

  • 259 E Erie St Ste 1520

    Chicago, IL 606113111

    Phone: (312) 695-8150

    Fax: (312) 695-3652

    Type: Location

  • Midwestern University Clinics, 3450, Lacey Road, Downers Grove, DuPage County, Illinois, 60515, United States

    DOWNERS GROVE, IL 605155430

    Phone: (630) 743-4500

    Fax: (630) 743-4537

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171004002658IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92134Imaging of retina3934$0
99213Established patient office or other outpatient visit, 20-29 minutes3630$0
92083Exam of visual field with extended testing1613$0
92014Established patient complete exam of visual system1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305734773View full group profile
NameSpecialtyState
Physician AssistantIL
Family PracticeIL
O P T O M E T R YMI
O P T O M E T R YIL
-AZ
Qualified Speech Language PathologistAZ
O P T O M E T R YWI
Qualified Speech Language PathologistIL
O P T O M E T R YIL
O P T O M E T R YNM

Reviews

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Frequently asked questions

What is the registry number for FREDERICK T COLLISON (OD)?
The registry entry for FREDERICK T COLLISON (OD) shows NPI 1356891022.
Should I treat FREDERICK T COLLISON (OD) as an active provider?
Patients and plans typically see FREDERICK T COLLISON (OD) as active in the national extract.
What services align with FREDERICK T COLLISON (OD)'s listing?
FREDERICK T COLLISON (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FREDERICK T COLLISON (OD)?
FREDERICK T COLLISON (OD) is associated with Chicago, Illinois in the same public data insurers reference.
Can I export FREDERICK T COLLISON (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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