Organization
MARION EYE CENTERS LTD.
Active
Other names
Marion Eye Centers Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MAQBOOL AHMAD M.D. (PRESIDENT)
(618) 969-8777
Entity
Organization
Contact information
Practice address
600 N KELLER DR, EFFINGHAM, IL 62401-1814
(217) 342-2900
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
036051996
IL
207W00000X
Ophthalmology Physician
036051996
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
09/18/2014
Last updated
08/07/2017
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