Colin Patrick McCambridge, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011911 Issued in IL

Practice address

329 W 18TH St Ste 311
Chicago, IL 60616-5132

Phone

(312) 929-3340

Fax

(312) 929-3341

NPI assigned

Aug 28, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ageless Eye Care PCGroup PAC ID 9638211253, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ageless Eye Care P.C.

  • Optometrist
  • Chicago, IL
  • NPI 1962637439
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1144054628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 W CULLERTON ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084876",
            "telephone_number": "630-605-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 18TH ST STE 311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165132",
            "telephone_number": "312-929-3340",
            "fax_number": "312-929-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMBRIDGE",
        "first_name": "COLIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne R McCall, MD
• Kathy McCall
• Morgan Elizabeth McCall, DMD
• Bria Janelle McCalpin
• McCambridge Dowd-Whipple, PLLC
• Stephanie McCammon, MS, OTR/L
• Austin McCann, LSW
• Brian Bollinger McCann, LSW
• Courtney McCann, M.A., BCBA
• Eileen McCann, APN

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.