Marion Eye Centers LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

036051996 Issued in IL

Legal business name

MARION EYE CENTERS LTD

Practice address

5 Eye Center Dr
Harrisburg, IL 62946-3334

Phone

(618) 252-5377

Fax

(618) 252-3028

NPI assigned

Dec 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maqbool Ahmad, M.D.

Title

President Owner

Phone

(618) 993-5686

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marion Eye Centers, Ltd. Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1598820904",
    "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": "5 EYE CENTER DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463334",
            "telephone_number": "618-252-5377",
            "fax_number": "618-252-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION EYE CENTERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MAQBOOL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "618-993-5686",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "036051996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203169800",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Eye Centers, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Lewis, PHDH
• Sherry L Livingston, RNCPNP
• Ryan Abbott Luce, MD
• Roger K. Lyons, D.MIN., L.C.P.C.
• M-CFHC
• Gabriel A Martin, PA-C
• Kenley June Masterson
• Christina Diann McCabe, ATC
• Deann Choisser McGowan
• Emma McGowan, CCC-SLP

• Durable Medical Equipment & Medical Supplies in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.