Calvin Vance III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010854 Issued in IL

Practice address

8541 S Cottage Grove Ave
Chicago, IL 60619-6115

Phone

(773) 651-7106

NPI assigned

Dec 17, 2014

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Price Optical Vision Specialists LLC

  • Optometrist
  • Chicago, IL
  • NPI 1760012645
  Medicare reassignment NPD Authorized official
• Price Optical Vision Specialists LLC

  • Eyewear Supplier
  • Chicago, IL
  • NPI 1801429204
  NPD Authorized official
• Fisher-Swale-Nicholson Eye Center SC

  • Ophthalmology Physician
  • Bourbonnais, IL
  • NPI 1639277940

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1750789186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196115",
            "telephone_number": "773-474-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196115",
            "telephone_number": "773-651-7106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 River Oaks Center Dr",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604095520",
            "country_code": "US",
            "telephone_number": "708-891-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "CALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Vanbenschoten
• Brooke Ashley Vanbriesen
• Gabrielle Vanbuskirk
• Jaime Lynn Vanbuskirk, PT, DPT, COMT, CMTPT
• Tony R. Vancauwelaert, M.D.
• Dean Vance, LCPC
• Eleanor Suzanne Vance
• Jill Robinson Vance, PSYD
• Kayleigh Vance, MD
• Morgan Vance, LCSW

• 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 Feb 14, 2020; 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.