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NPI Code Detail

MEDICARE: MARION EYE CENTERS LTD.

MEDICARE: MARION EYE CENTERS LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies036051996IL

Other Identifiers

General Provider Information

NPI Number : 1649304957
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARION EYE CENTERS LTD.
Provider Business Mailing Address
First Line : 1200 W DEYOUNG ST
Second Line : P.O. BOX 1178
City : MARION
State : IL
Zip : 62959-4437
Country : US
Telephone Number : 618-993-5686
Fax Number : 618-997-5505
Provider Business Practice Location Address
First Line : 401 S WALNUT ST
Second Line :
City : PINCKNEYVILLE
State : IL
Zip : 62274-1344
Country : US
Telephone Number : 800-344-7058
Fax Number : 618-997-5505
Authorized Official
Title or Position : OWNER PRESIDENT
Name : MAQBOOL AHMAD
Credential : M.D.
Telephone Number : 618-933-5686
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/07/2017

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Directions to “MARION EYE CENTERS LTD. ” Practice Location

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