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Contact Information

MARION EYE CENTERS LTD.
374 E. GRAND AVENUE, BLDG. 269, ROOM 140A
STUDENT HEALTH CENTER MAIL CODE 6740
CARBONDALE, IL62901
 Phone: 618-549-0615
 Fax: 618-549-0743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MARION EYE CENTERS LTD.

NPI # 1871658708
LBN Legal business name MARION EYE CENTERS LTD.
Authorized official MAQBOOL AHMAD - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 08/07/2017 - About 9 years ago
Identifiers
IL License # 036051996
IL Medicaid 036051996
MO Medicaid 203169800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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