Marion Eye Centers, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

35374 Issued in MO

Legal business name

MARION EYE CENTERS, LTD.

Doing business as

Marion Eye Centers, Ltd.

Practice address

1207 N One Mile Rd
Dexter, MO 63841-1041

Phone

(573) 624-4584

Fax

(573) 624-4585

NPI assigned

Nov 14, 2007

Last updated

Aug 30, 2017By 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

Owner

Phone

(618) 993-5686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marion Eye Centers, Ltd. Doing business as

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1932380326",
    "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": "1207 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411041",
            "telephone_number": "573-624-4584",
            "fax_number": "573-624-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION EYE CENTERS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MAQBOOL",
        "authorized_official_title_or_position": "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": "MO",
            "license": "35374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203169800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Eye Centers, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Leigh Louder, MSW, LCSW
• Melissa Ann Lovins-Bewley, AGACNP-BC
• Heather L Maddox, PT/DPT
• Stacy Allen Mangum, PHARM.D.
• Marion Eye Centers, LTD.
• Alexis Mayberry, CCC-SLP
• Hillary A Mayberry, LPC
• Kathryn A. Mayberry, O.D.
• Christa Renee McBroom, PHARMD
• Tonya McClain, PNP

• Durable Medical Equipment & Medical Supplies in Dexter, MO
• Providers in Dexter, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.