Active NPI
Eric S Mann, MD, PHD
- Ophthalmology Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-094928
- Practice address
- 4550 Memorial Dr Ste 350
Belleville, IL 62226-5372 - Phone
- (618) 632-8100
- Fax
- (618) 632-8101
- NPI assigned
- Oct 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 105431 | MO | |
| Ophthalmology Physician | 207W00000X | 036-094928 | IL | Primary |
Addresses
Primary practice location
4550 Memorial Dr Ste 350
Belleville, IL 62226-5372
Mailing address
4550 Memorial Dr Ste 350
Belleville, IL 62226-5372
Phone (618) 632-8100
Other practice location 1
2821 N Ballas Rd Ste C11
Saint Louis, MO 63131-2313
Phone (314) 835-9400
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213418 | Other | IL | PTAN |
| 06030124 | Other | IL | BCBSIL |
| 3411178005 | Other | IL | CIGNA |
| 431872920 | Other | IL | COMMERCIAL CARRIERS |
| 5234019 | Other | IL | AETNA |
| 5234019 | Other | MO | AETNA |
| 000000012366 | Other | IL | ESSENCE |
| 00827 | Other | MO | EXCLUSIVE CHOICE MO |
| 5234019 | Other | IL | AETNA IL |
| 65960 | Other | IL | UHC |
| 10585 | Other | IL | GHP |
| 143209 | Other | MO | BCBSMO |
| 207652041 | Medicaid | MO | |
| CB6939 | Other | MO | RAILROAD MCR MO |
| 000000012366 | Other | MO | ESSENCE MO |
| 008257 | Other | IL | EXCLUSIVE CHOICE |
| 000015461 | Other | MO | PTAN |
| 255484 | Other | IL | HEALTHLINK |
| CB6940 | Other | IL | RAILROAD MCR 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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2821 N Ballas Rd
Suite C11
Saint Louis, MO 63131-2313
Phone (618) 632-8100
317 Salem PL
Suite 150
Fairview Heights, IL 62208-1347
317 Salem Place
Suite 150
Fairview Heights, IL 62208-1347
4550 Memorial Dr
Suite 350
Belleville, IL 62226-5372
Phone (618) 632-8100
Hospital & facility affiliations
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 71 |
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-094928 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Group Limited PC | Current | Accepting new patients |
Locations
4550 Memorial Dr
Ste 350
Belleville, IL 62226
Phone (618) 239-9690
317 Salem Pl
Ste 150
Fairview Hts, IL 62208
Phone (618) 632-8100
2821 N Ballas Rd
Ste C11
Saint Louis, MO 63131
Phone (314) 872-5601
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1841289014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR STE 350",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-632-8100",
"fax_number": "618-632-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR STE 350",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-632-8100",
"fax_number": "618-632-8101"
}
],
"practiceLocations": [
{
"address_1": "2821 N Ballas Rd Ste C11",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312313",
"country_code": "US",
"telephone_number": "314-835-9400",
"fax_number": "314-835-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "ERIC",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "105431",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-094928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "213418",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "06030124",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3411178005",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL CARRIERS",
"identifier": "431872920",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5234019",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5234019",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "000000012366",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCLUSIVE CHOICE MO",
"identifier": "00827",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA IL",
"identifier": "5234019",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "65960",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "10585",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMO",
"identifier": "143209",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207652041",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR MO",
"identifier": "CB6939",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE MO",
"identifier": "000000012366",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCLUSIVE CHOICE",
"identifier": "008257",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000015461",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "255484",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR IL",
"identifier": "CB6940",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.