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. (OWNER)
(618) 993-5686
Entity
Organization
Contact information
Practice address
216 N MARKET ST, SPARTA, IL 62286-2021
(618) 443-2020
(618) 443-2001
Mailing address
1200 W DEYOUNG ST, P.O. BOX 1178, MARION, IL 62959-4437
(618) 993-5686
(618) 997-5505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
036051996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051996
—
IL
Enumeration date
07/31/2007
Last updated
08/07/2017
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