MARION EYE SURGERY CENTER LLC
NPI 1295156669
Clinic/Center - Ambulatory Surgical in Mount Vernon, IL

Q: What is Marion Eye Surgery Center LLC's NPI number?

The NPI number for Marion Eye Surgery Center LLC is 1295156669. It was assigned to this organization in the NPPES registry on January 2, 2014.

Q: What is Marion Eye Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 02, 2014CLIA 14D1106446 · Waiver

2900 BROADWAY ST, SUITE B, MOUNT VERNON, IL 62864(618) 969-8700(618) 899-9020 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marion Eye Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARION EYE SURGERY CENTER LLC (NPI 1295156669) is a healthcare organization registered as an ambulatory surgical in Mount Vernon, Illinois and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Maqbool Ahmad, President, as its authorized official.

NPPES Registry Identity

NPI1295156669

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMARION EYE SURGERY CENTER LLC

Location Address2900 BROADWAY ST, SUITE BMount Vernon, IL 62864-2341

Mailing Address2900 Broadway St, Suite BMount Vernon, IL 62864-2341 · (618) 969-8700 · Fax (618) 899-9020

Phone(618) 969-8700

Fax(618) 899-9020

Organization SubpartNo

Authorized OfficialMaqbool AhmadPresident · (618) 993-5686

Enumeration DateJanuary 2, 2014

✔ NPI 1295156669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in IL · 7003143

2900 BROADWAY ST, Mount Vernon, IL 62864

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1106446

Marion Eye Surgery Center · Mount Vernon, IL

Active · expires Oct 13, 2027

CLIA Number14D1106446

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorFaisel M. Ahmad

Laboratory Phone(618) 969-8700

Laboratory LocationMarion Eye Surgery Center2900 Broadway, Suite B, Mount Vernon, IL 62864

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAQBOOL AHMAD

Clinic/Center (Ambulatory Surgical)

2900 BROADWAY ST, SUITE B
MOUNT VERNON, IL 62864

Jefferson County (618) 993-5686

MARION EYE SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

2900 BROADWAY ST, STE. B
MOUNT VERNON, IL 62864

Jefferson County (618) 969-8700

MARION EYE CENTERS LTD

Durable Medical Equipment & Medical Supplies

2900 BROADWAY ST, STE. A
MOUNT VERNON, IL 62864

Jefferson County (618) 244-7777

MADELINE CAREY OLSON

Nurse Anesthetist, Certified Registered

2900 BROADWAY ST
MOUNT VERNON, IL 62864

Jefferson County (618) 244-2777

ERIN HOCKING AYERS O.D.

Optometrist

2900 BROADWAY ST, SUITE A
MOUNT VERNON, IL 62864

Jefferson County (618) 244-2777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marion Eye Surgery Center LLC's NPI number?

The NPI number for Marion Eye Surgery Center LLC is 1295156669. It was assigned to this organization in the NPPES registry on January 2, 2014.

Where is Marion Eye Surgery Center LLC located?

Marion Eye Surgery Center LLC is located at 2900 Broadway St Suite B, Mount Vernon, IL 62864. The listed phone number is (618) 969-8700.

What is Marion Eye Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Marion Eye Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1106446) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marion Eye Surgery Center LLC was last updated on January 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.