MARION EYE SURGERY CENTER LLC NPI 1346698602

NPI Details

MARION EYE SURGERY CENTER LLC is an ambulatory surgical clinic center in Mount Vernon, IL. MARION EYE SURGERY CENTER LLC NPI is 1346698602. The provider is registered as an organization entity type.

The provider's business location address is:

2900 BROADWAY ST
STE. B
MOUNT VERNON, IL
ZIP 62864-341
Phone: (618) 969-8700
Fax: (618) 899-9020

The provider's authorized official is Maqbool Ahmad .
The authorized official title is President and has the following contact phone number (618) 993-5686.

The CLIA number assigned to this NPI record is 14D2078582 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Repair of tendon of upper eyelid (HCPCS:67904)
• Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
• Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
• Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66989)
• Removal of membrane of retina (HCPCS:67041)
• Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
• Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
• Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
• Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
• Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)

The enumeration date for this NPI number is 5/27/2016 and was last updated on 5/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: