DR. Charles E Mccollum, O.D.

NPI #1902915671 in Marion, Illinois

Provider Information

NPI Number: 1902915671
Entity Type: Individual
Name: DR. Charles E Mccollum, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 29, 2006
Last Updated: Oct 15, 2011

Practice Location

Address: 1302 ENTERPRISE WAY
City: Marion
State: Illinois
ZIP Code: 62959
Phone: (618) 997-6922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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