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.

Doing business as

Marion Eye Centers, Ltd.

Practice address

1003 W Vine St Ste C
Vienna, IL 62995-1575

Phone

(618) 658-2195

Fax

(618) 658-3094

NPI assigned

Dec 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Locations

Practitioners 1

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.

• Rakhi Patel, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1215160361
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821153651",
    "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": "1003 W VINE ST STE C",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951575",
            "telephone_number": "618-658-2195",
            "fax_number": "618-658-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION EYE CENTERS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-07-21",
        "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"
        }
    ]
}

• Jennifer Livesay, BA MHP
• Jacob Lorenz, BA, MHP
• Pamela Lugo, BA, MHP
• Lutheran Social Services of Illinois
• Regaina Madden, MSW QMHP
• David Martin, BA MHP
• Sherry Ann Maynor
• Karen M McBride, BA, MHP
• Jessica Renee McCowan, PT, DPT
• Brandy Meadows, RN QMHP

• Durable Medical Equipment & Medical Supplies in Vienna, IL
• Providers in Vienna, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.