Individual provider Active NPI

Eric S Mann, MD, PHD

  • Ophthalmology Physician
  • Belleville, IL
National Provider Identifier
1841289014
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-094928 Issued in IL
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

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
213418OtherILPTAN
06030124OtherILBCBSIL
3411178005OtherILCIGNA
431872920OtherILCOMMERCIAL CARRIERS
5234019OtherILAETNA
5234019OtherMOAETNA
000000012366OtherILESSENCE
00827OtherMOEXCLUSIVE CHOICE MO
5234019OtherILAETNA IL
65960OtherILUHC
10585OtherILGHP
143209OtherMOBCBSMO
207652041MedicaidMO
CB6939OtherMORAILROAD MCR MO
000000012366OtherMOESSENCE MO
008257OtherILEXCLUSIVE CHOICE
000015461OtherMOPTAN
255484OtherILHEALTHLINK
CB6940OtherILRAILROAD MCR IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041120000208 IL Practitioner - Ophthalmology 0446215222 Reassigns benefits to 1 organization
I20071030000091 MO Practitioner - Ophthalmology 0446215222 Reassigns benefits to 1 organization

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 Hospital, Belleville, IL, CCN 140185

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
036-094928ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Group Limited PC CurrentSince Mar 1, 2001 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.

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)",
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            "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

Verify at the official NPI Registry.