Active NPI
Omar Rizwan Ahmad, M.D.
- Retina Specialist (Ophthalmology) Physician
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 036127128
- Practice address
- 1200 W Deyoung
Marion, IL 62959 - Phone
- (618) 993-5686
- Fax
- (618) 997-6250
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036127128 | IL | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2011014874 | MO | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 036127128 | IL | Primary |
Addresses
Primary practice location
1200 W Deyoung
Marion, IL 62959
Mailing address
1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686
Other practice location 1
5 Eye Center Dr
Harrisburg, IL 62946-3334
Phone (618) 252-5377
Other practice location 2
1001 N Beadle Dr
Carbondale, IL 62901-1054
Phone (618) 549-2282
Other practice location 3
1207 N One Mile Rd
Dexter, MO 63841-1041
Phone (573) 624-4584
Other practice location 4
297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205952249 | Medicaid | MO | |
| 036127128 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110513000727 | IL | Practitioner - Ophthalmology | 0749334829 | Reassigns benefits to 1 organization |
| I20110621000036 | MO | Practitioner - Ophthalmology | 0749334829 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Washington University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marion Eye Centers LTD
Practice addresses (Care Compare)
1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686
297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011014874 | MO | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Eye Centers LTD. | Ophthalmology | Current | Accepting new patients |
| Marion Eye Centers LTD. | Ophthalmology | Current | Accepting new patients |
| Marion Eye Surgery Center LLC | Past | Accepting new patients |
Locations
1001 N Beadle Dr
Carbondale, IL 62901
Phone (618) 457-2123
1204 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-6220
5 Eye Center Dr
Harrisburg, IL 62946
Phone (618) 252-5377
1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290
2900 Broadway St
#B
Mount Vernon, IL 62864
Phone (618) 969-8700
297 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 651-5200
1207 N One Mile Rd
Dexter, MO 63841
Phone (573) 624-4584
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Sparta, IL
- NPI 1982894465
Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Mount Vernon, IL
- NPI 1346698602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1205952249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-997-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-993-5686",
"fax_number": "618-997-6250"
}
],
"practiceLocations": [
{
"address_1": "5 Eye Center Dr",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "IL",
"postal_code": "629463334",
"country_code": "US",
"telephone_number": "618-252-5377",
"fax_number": "618-252-3028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 N Beadle Dr",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011054",
"country_code": "US",
"telephone_number": "618-549-2282",
"fax_number": "618-549-6017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1207 N One Mile Rd",
"address_purpose": "LOCATION",
"city": "Dexter",
"state": "MO",
"postal_code": "638411041",
"country_code": "US",
"telephone_number": "573-624-4584",
"fax_number": "573-624-4992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "297 S Silver Springs Rd",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637036309",
"country_code": "US",
"telephone_number": "573-651-5200",
"fax_number": "573-651-3743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "OMAR",
"middle_name": "RIZWAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036127128",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MO",
"license": "2011014874",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "IL",
"license": "036127128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205952249",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036127128",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.