Donald R Marion, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008161 Issued in IL

Practice address

2 Park Avenue West
Princeton, IL 61356

Phone

(815) 879-2020

Fax

(815) 879-2001

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: direct@lifetimeeyecareprincetonil.compulinkdirect.com

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1952488397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "address_2": "2 PARK AVENUE WEST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-879-2020",
            "fax_number": "815-879-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVENUE WEST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-879-2020",
            "fax_number": "815-879-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "684000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifefit Physical Rehab, LTD.
• Liz Healthcare and Psychiatry
• Louis J. Foley, M.D. Gynecology, LTD
• Leslie Erin Lund, DC
• Colette Marie Maher, LCPC
• Mark W. Williams, M.D., PH.D., General Surgery, S.C.
• Jeffrey Paul Martin, DC
• Angela McClain, MS, CNS, LDN
• Jon E McCutchan, OD
• Micah W McNeill, APRN, CNP

• Optometrist in Princeton, IL
• Providers in Princeton, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.