IRENE FEDOROVICH (MD) – Ophthalmology Physician, NPI 1740384189

IRENE FEDOROVICH (MD) is a healthcare provider. based in Marion, Illinois. specializing in Ophthalmology Physician. They hold the professional credentials MD. They hold a License No. 2003028760 (MO). The NPI Number for IRENE FEDOROVICH (MD) is 1740384189

Main info

Female
Name
IRENE FEDOROVICH (MD)
NPI
1740384189
Phone
Not provided
Address
619 LAKE HARBOR DR
Enumeration Date
7 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for IRENE FEDOROVICH (MD)

  • Lake Harbor Place, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629595550

    Phone:

    Type: Mailing

  • 2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591188

    Phone: (618) 997-5311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-02

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 62959)

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Reviews

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Frequently asked questions

How do I look up IRENE FEDOROVICH (MD) by NPI?
Use NPI 1740384189 when you need to reference IRENE FEDOROVICH (MD) in forms, claims, or directories.
Is IRENE FEDOROVICH (MD)'s NPI currently valid?
The extract we use shows IRENE FEDOROVICH (MD) as active.
What field does IRENE FEDOROVICH (MD) work in?
You can think of IRENE FEDOROVICH (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is IRENE FEDOROVICH (MD)'s primary listing?
We display Marion, Illinois because that is what the record indicates for IRENE FEDOROVICH (MD).
What if Marion, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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