Eric Marnul

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010705 Issued in IL

Practice address

5000 Stadium Dr
Loves Park, IL 61111-2301

Phone

(847) 264-0055

NPI assigned

Oct 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eric Marnul Optometry Inc

  • Optometrist
  • Loves Park, IL
  • NPI 1427674811
  Medicare reassignment NPD Authorized official
• Marnul Eye Care, P.C.

  • Eyewear Supplier
  • Marengo, IL
  • NPI 1689933475
  NPD
• Miller Eye Center LTD

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1619063013
  NPD (past)

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1740617570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S STATE ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601522229",
            "telephone_number": "847-264-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 STADIUM DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611112301",
            "telephone_number": "847-264-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNUL",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Magerl, APN
• Michael Bernard Maloney, DO
• Monica Manhas, MD
• Nadhia Marie Manthuruthil
• Michael Marck, M.D.
• Monica Ann Martens, M.D.
• Marissa Martin
• Lawrence D. Mason, M.D.
• James M. Mathers, M.D.
• David Edward Matson

• Optometrist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.

Verify at the official NPI Registry.