Christopher McCollum, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3567 Issued in TN

Practice address

115 Penn Warren Dr Ste 450
Brentwood, TN 37027-5047

Phone

(615) 475-5456

NPI assigned

Oct 7, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1912548363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ADAMS ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643637",
            "telephone_number": "615-294-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PENN WARREN DR STE 450",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275047",
            "telephone_number": "615-475-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "CHRISTOPHER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Rachelle McClaran, DDS, MDS
• Cynthia Ann McClard, RPH., M.S.
• Shari McClaren, LPC-MHSP
• Trista McClarnon, MS, OTR/L
• Christopher Paul McClintock
• Sean McComiskey
• Justin McCord, PMHNP-BC
• Kevin McCord, D.C.
• Claudia Rodgers McCulloch, PH.D.
• Margaret McCullough, RD

• Optometrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.