Marion Eye Centers LTD.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Vandalia, IL
NPI 1154635332 · NPPES record last updated Aug 7, 2017
Key facts
- NPI
- 1154635332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 036.051996 (IL)
- Legal business name
- MARION EYE CENTERS LTD.
- Practice address
- 300 West Randolph
Vandalia, IL 62471 - Phone
- (618) 283-7100
- Fax
- (618) 997-6250
- NPI assigned
- Jul 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Maqbool Ahmad, M.D.
- Title
- Owner President
- Phone
- (618) 969-8777
Corporate family (same tax ID) 28
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Marion Eye Centers LTD |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029511 | IL | DME Supplier - Physician - Ophthalmology |
3072426774 | Practice locations: Vandalia, IL |
National Provider Directory
- Tax ID family
- Marion Eye Centers Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 036.051996 | IL | Yes |
Addresses
Primary practice location
300 West Randolph
Vandalia, IL 62471
Mailing address
1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686
Other names
- Marion Eye Centers, Ltd.
Other providers in Vandalia, IL
- Michael Donald Lask
- Lean on Me Caregiving
- Anita Sue Lidy
- Elizabeth Lohman
- John (Jay) Jason Lowry
- Megan Brianne McDowell
- MCS Counseling Services
- Jodi Lynn Meyer
- Mid America Dental LLC
- Midamerica Center for Dental Wellness & Aesthetics PC
All providers in Vandalia, IL · Durable Medical Equipment & Medical Supplies in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.