Active NPI
Marion Eye Centers LTD.
- Ophthalmology Physician
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-051996
- Legal business name
- MARION EYE CENTERS LTD.
- Doing business as
- Marion Eye Centers, Ltd.
- Practice address
- 1200 W Deyoung St
Marion, IL 62959-4437 - Phone
- (618) 993-5686
- Fax
- (618) 997-5595
- NPI assigned
- Jul 20, 2005
- Last updated
- Jul 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maqbool Ahmad
- Title
- President/Owner
- Phone
- (618) 993-3838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 036-051996 | IL | |
| Ophthalmology Physician | 207W00000X | 036-051996 | IL | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 036.051996 | IL |
Addresses
Primary practice location
1200 W Deyoung St
Marion, IL 62959-4437
Mailing address
1200 W Deyoung St
P.O. Box 1178
Marion, IL 62959-4437
Phone (618) 993-5686
Other names 1
- Marion Eye Centers, Ltd.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000609 | IL | Part B Supplier - Clinic/Group Practice | 3072426774 |
Receives reassigned benefits from 34 practitioners Practice locations: Harrisburg, IL; Herrin, IL; Marion, IL; MC Leansboro, IL; Mount Vernon,, IL; Murphysboro, IL; Nashville, IL; Olney, IL… |
| O20040319000260 | MO | Part B Supplier - Clinic/Group Practice | 3072426774 |
Receives reassigned benefits from 14 practitioners Practice locations: Cape Girardeau, MO; Sikeston, MO; Poplar Bluff, MO; Dexter, MO; Charleston, MO |
National Provider Directory
National Provider DirectoryLocations
165 Plaza Dr
Anna, IL 62906
Phone (618) 833-8359
1001 N Beadle Dr
Carbondale, IL 62901
Phone (618) 457-2123
1001 N Beadle Dr
Ste 10
Carbondale, IL 62901
374 E Grand Ave
#269
Carbondale, IL 62901
Phone (618) 549-0615
374 E Grand Ave
Rm 140A
Carbondale, IL 62901
404 E Plaza Dr
Carterville, IL 62918
Phone (618) 985-9983
899 E McCord St
Centralia, IL 62801
Phone (618) 532-1997
600 N Keller Dr
Effingham, IL 62401
Phone (217) 342-2900
1204 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-6220
5 Eye Center Dr
Harrisburg, IL 62946
Phone (618) 252-5377
1200 E Deyoung St
Marion, IL 62959
1801 E 5th St
Metropolis, IL 62960
Phone (618) 524-9323
1801 E 5th St
#890
Metropolis, IL 62960
Phone (800) 851-3601
2900 Broadway St
Mount Vernon, IL 62864
Phone (618) 244-2777
216 N Market St
Sparta, IL 62286
Phone (601) 443-2020
117 N Main St
Charleston, MO 63834
Phone (573) 683-2020
297 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 651-5200
117 E N Main St
Dexter, MO 63841
1207 N One Mile Rd
Dexter, MO 63841
Phone (573) 624-4584
2511 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5866
Practitioners & affiliated clinicians
Practitioners 48
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Effingham, IL
- NPI 1952560963
-
- Optometrist
- Carbondale, IL
- NPI 1851373815
-
- Optometrist
- Marion, IL
- NPI 1194806034
-
- Optometrist
- Pinckneyville, IL
- NPI 1588660633
-
- Optometrist
- Vandalia, IL
- NPI 1083924740
-
- Optometrist
- Marion, IL
- NPI 1285621656
-
- Optometrist
- Effingham, IL
- NPI 1811949373
-
- Optometrist
- Herrin, IL
- NPI 1780671164
-
- Optometrist
- Carterville, IL
- NPI 1326099524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501459200000",
"number": "1508865643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"address_2": "P.O. BOX 1178",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-997-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-997-5595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION EYE CENTERS LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2017-07-31",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "MAQBOOL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "618-993-3838",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "036-051996",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-051996",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": "IL",
"license": "036.051996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marion Eye Centers, Ltd.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, IL
- Marion Diagnostic Center, LLC
- Marion Emergency Physicians, LLC
- Marion Eye Anesthesia Group LLC
- Marion Eye Center Anesthesia Group Inc
- Marion Eye Centers LTD
- Marion Family Chiropractic, PLLC
- Marion Healthcare LLC
- Marion Hospital Corporation (Heartland Regional Medical Center)
- Marion Hospital Corporation (Heartland Regional Medical Center)
- Marion Hospital Corporation (Heartland Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.