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) 993-5686
Entity
Organization
Contact information
Practice address
905 N VICTOR ST, CHRISTOPHER, IL 62822-1529
(618) 724-6300
(618) 724-6303
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
09/23/2014
Last updated
08/07/2017
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