NPIMap

Organization Active NPI

Marion Eye Centers LTD.

  • Durable Medical Equipment & Medical Supplies
  • Sparta, IL
National Provider Identifier
1982894465
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
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
216 N Market St
Sparta, IL 62286-2021
Phone
(618) 443-2020
Fax
(618) 443-2001
NPI assigned
Jul 31, 2007
Last updated
Aug 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 036051996 IL Primary

Addresses

Primary practice location

216 N Market St
Sparta, IL 62286-2021

Mailing address

1200 W Deyoung St
P.O. Box 1178
Marion, IL 62959-4437
Phone (618) 993-5686

Other identifiers 1

IdentifierTypeStateIssuer
036051996MedicaidIL

Other names 1

  • Marion Eye Centers, Ltd. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930095758 IL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 3072426774 Practice locations: Sparta, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marion Eye Centers LTD216 N Market St, Sparta, IL 62286-2021(618) 443-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Marion Eye Centers Op29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

374 E Grand Ave
#269
Carbondale, IL 62901
Phone (618) 549-0615

374 E Grand Ave
Bldg 269
Carbondale, IL 62901
Phone (618) 549-0615

1201 W Main St
Carmi, IL 62821
Phone (618) 384-5112

600 N Keller Dr
Effingham, IL 62401
Phone (217) 342-2900

101 E Main St
Fairfield, IL 62837
Phone (618) 842-3228

520 E North Ave
Flora, IL 62839
Phone (618) 662-3202

805 W Deyoung St
Marion, IL 62959
Phone (618) 969-9421

313 S Jackson St
Mc Leansboro, IL 62859
Phone (618) 643-2650

1934 Walnut St
Murphysboro, IL 62966
Phone (618) 565-1406

1200 N East St
Ste 2
Olney, IL 62450
Phone (618) 395-5222

902 E Locust St
Olney, IL 62450
Phone (618) 392-2020

401 S Walnut St
Pinckneyville, IL 62274
Phone (618) 357-2020

1103 W Main St
Salem, IL 62881
Phone (618) 548-0100

117 N Main St
Charleston, MO 63834
Phone (573) 683-2020

2511 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5866

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1982894465",
    "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": "216 N MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622862021",
            "telephone_number": "618-443-2020",
            "fax_number": "618-443-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION EYE CENTERS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2017-08-07",
        "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": "IL",
            "license": "036051996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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"
        }
    ]
}

Other providers in Sparta, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.