Individual
FREDERICK T COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046.010506
OPTOMETRY LICENSE
IL
01
—
346.003257
LICENSED OPTOMETRIST CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
10/06/2016
Last updated
04/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us