MARION EYE SURGERY CENTER LLC
NPI 1346698602
Clinic/Center - Ambulatory Surgical in Mount Vernon, IL

NPI Status: Active since May 27, 2016

Contact Information

2900 BROADWAY ST
STE. B
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 969-8700
Fax: (618) 899-9020

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 14D2078582
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-29-2026

About MARION EYE SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Marion Eye Surgery Center Llc, a provider established in Mount Vernon, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1346698602 assigned on May 2016. The practitioner's primary taxonomy code is 261QA1903X with license number 7003143 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Maqbool Ahmad M.d. (President)

NPI
1346698602
Provider Name
MARION EYE SURGERY CENTER LLC
Entity Type
Organization
Location Address
2900 BROADWAY ST STE. B MOUNT VERNON, IL 62864
Location Phone
(618) 969-8700
Location Fax
(618) 899-9020
Mailing Address
PO BOX 1178 MARION, IL 62959
Mailing Phone
(618) 969-8777
Mailing Fax
(618) 899-9020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2016
Last Update Date
05-27-2016
Code Navigator



Marion Eye Surgery Center Llc is a medicare supplier with PTAN 20669057 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
7003143
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MAQBOOL AHMAD M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(618) 993-5686

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This procedure involves removing a cloudy lens (cataract) from your eye through a larger incision, replacing it with an artificial one. A drainage device is also inserted in the front part of your eye to manage fluid levels, helping maintain eye health.

This service was performed 30 times for 20 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

This service was performed 17 times for 15 patients

Destruction of eye fluid (vitreous) between lens and retina using a laser

This procedure involves applying a laser to the eye's vitreous fluid, located between the lens and retina. The laser's heat destroys the vitreous, helping to treat specific eye conditions. The process is safe, typically painless, and can significantly improve vision quality.

This service was performed 18 times for 18 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 33 times for 20 patients

Insertion of initial aqueous fluid drainage device into eye

This procedure involves placing a small device into your eye to help drain fluid. It's often used for glaucoma management. The device reduces pressure in the eye, helping to prevent vision loss. It's done under anesthesia for your comfort.

This service was performed 22 times for 18 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

This service was performed 5,604 times for 780 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 1,387 times for 780 patients

Removal of eye fluid (vitreous) between lens and retina

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

This service was performed 50 times for 42 patients

Removal of membrane of retina

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

This service was performed 25 times for 24 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 15 times for 14 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

This service was performed 16 times for 15 patients

Repair of tendon of upper eyelid

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

This service was performed 79 times for 46 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20669057
Accepts Medicare Assignment
YES
Specialities List
Optometrist, Optician.
Provider Type List
PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2078582
Facility Type
Physician Office
Certificate Effective Date
May 30, 2024
Certificate Expiration Date
May 29, 2026
Laboratory Director
ROBERT L. KIPPENBROCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marion Eye Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MARION EYE SURGERY CENTER LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346698602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 2 + 9 + 1 + 6 + 6 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1346698602.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
2900 BROADWAY ST, SUITE B
MOUNT VERNON, IL 62864
Clinic/Center (Ambulatory Surgical)
2900 BROADWAY ST, SUITE B
MOUNT VERNON, IL 62864
Optometrist
2900 BROADWAY ST, SUITE A
MOUNT VERNON, IL 62864
Durable Medical Equipment & Medical Supplies
2900 BROADWAY ST, STE. A
MOUNT VERNON, IL 62864
Nurse Anesthetist, Certified Registered
2900 BROADWAY ST
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346698602, enumerated as an "organization" on May 27, 2016.

The provider is located at 2900 BROADWAY ST STE. B MOUNT VERNON, IL 62864 and the phone number is (618) 969-8700.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.