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MARION EYE CENTERS LTD. NPI 1982894465


NPI Information

NPI: 1982894465
Provider Name: MARION EYE CENTERS LTD.

Doing Business As: MARION EYE CENTERS, LTD.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D2110947

Address:
216 N MARKET ST
SPARTA, IL
ZIP 62286
Phone: (618) 443-2020
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MARION EYE CENTERS LTD. is a durable medical equipment medical supplies in Sparta, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MARION EYE CENTERS LTD. NPI is 1982894465. The provider is registered as an organization entity type.
The provider Is Doing Business As Marion Eye Centers, Ltd..

The provider's business location address is:

216 N MARKET ST
SPARTA, IL
ZIP 62286-021
Phone: (618) 443-2020
Fax: (618) 443-2001

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

The CLIA number assigned to this NPI record is 14D2110947 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 8/7/2017.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies036051996ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C51321MEDICARE UPINILLINOIS
2036051996MEDICAIDILLINOIS
30814870031MEDICARE NSCILLINOIS
4P12420MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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