Eyes of Illinois Surgery Center of Maryville – Certified Registered Nurse Anesthetist, NPI 1023055696

Eyes of Illinois Surgery Center of Maryville is a healthcare provider. based in Maryville, Illinois. specializing in Certified Registered Nurse Anesthetist. The organization holds a License No. 7002132 (IL). The NPI Number for Eyes of Illinois Surgery Center of Maryville is 1023055696

Main info

Organization
Name
Eyes of Illinois Surgery Center of Maryville
NPI
1023055696
Phone
(618) 288-7483
Address
12 PROFESSIONAL PARK DR
Authorized Official
MR. SCOTT T. MACOMBER EXECUTIVE VP AND CFO
Enumeration Date
1 June 2006
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Eyes of Illinois Surgery Center of Maryville

  • 12, Professional Park Drive, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620625672

    Phone: (618) 288-7483

    Fax: (618) 288-7196

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62062)

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Reviews

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Frequently asked questions

Does Eyes of Illinois Surgery Center of Maryville share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Eyes of Illinois Surgery Center of Maryville uses 1023055696.
Does the file indicate Eyes of Illinois Surgery Center of Maryville is practicing under active NPI?
Directory data currently reports Eyes of Illinois Surgery Center of Maryville as active.
What healthcare role does Eyes of Illinois Surgery Center of Maryville hold?
Scheduling teams often label Eyes of Illinois Surgery Center of Maryville under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect Eyes of Illinois Surgery Center of Maryville on a map?
Expect Maryville, Illinois as a primary anchor for Eyes of Illinois Surgery Center of Maryville unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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