NPI | 1508865643 |
---|---|
Doing Business As | MARION EYE CENTERS, LTD. |
Entity Type | Organization |
Authorized Contact | MAQBOOL AHMAD President/Owner 618-993-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 036-051996) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 036-051996) |
207WX0107X Ophthalmology, Retina Specialist (Licence: IL 036.051996) | |
Enumeration Date | 2005-07-20 |
Last Update Date | 2017-07-31 |