DR. MARIANNE WANDA MCDANIEL (NPI# 1588793731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588793731 |
| Entity Type | Individual |
| Full Name | DR. MARIANNE WANDA MCDANIEL |
| Credential | O.D. |
| Practice Address |
10900 Lincoln Trl Fairview Heights IL 62208-2042 |
| Mailing Address |
1218 Elisabeth Dr O Fallon IL 62269-7159 |
| Practice Telephone | 6183985005 |
| Mailing Telephone | 6186243278 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| Street Address |
10900 LINCOLN TRL |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467130 | Karen D. Reed | Optometrist | 10900 Lincoln Trl, Fairview Heights, IL 62208-2042 | 2005-09-12 |
| 1487109484 | Reed Eye Care Center | Optometrist | 10900 Lincoln Trl, Fairview Heights, IL 62208-2042 | 2016-08-18 |
| 1134432248 | Helfrich Family Eye Care, LLC | Optometrist | 10900 Lincoln Trl, Fairview Heights, IL 62208-2042 | 2010-07-18 |
| 1669509576 | Jon L Woods | Optometrist | 10900 Lincoln Trl, Fairview Heights, IL 62208-2042 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316284847 | Alex Manera | Optometrist | 815 Lincoln Hwy, Suite #104, Fairview Heights, IL 62208-2230 | 2013-01-03 |
| 1912137266 | Fountains Eyecare Center, PC | Optometrist | 314 Fountains Pkwy, Suite D, Fairview Heights, IL 62208-2165 | 2009-07-21 |
| 1407086945 | Holly Renee Klein | Optometrist | 5915 N Illinois St, Fairview Heights, IL 62208-2710 | 2009-07-17 |
| 1396991527 | Manera Total Vision Care, LLC | Optometrist | 815 Lincoln Highway, Suite #104, Fairview Heights, IL 62208 | 2008-08-07 |
| 1235326034 | 3f Vision LLC | Optometrist | 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 | 2007-09-26 |
| 1578695425 | Thomas John Johnson | Optometrist | 10 Lincoln Hwy Ste 101, Fairview Heights, IL 62208 | 2007-03-09 |
| 1629110028 | Roseanne Mezzano | Optometrist | St. Clair Square Shopping Center, Space 124, Fairview Heights, IL 62208 | 2007-02-13 |
| 1932262813 | Laurie E Andrews | Optometrist | 235 Saint Clair Sq, Fairview Heights, IL 62208-2134 | 2006-12-19 |
| 1265504443 | Valerie J Barber | Optometrist | 134 Saint Clair Sq, #271-#272, Fairview Heights, IL 62208-2135 | 2006-11-14 |
| 1538274899 | Anita J. Wood | Optometrist | 6570 N Illinois St Ste A, Fairview Heights, IL 62208-2195 | 2006-08-20 |
| Find all providers in FAIRVIEW HEIGHTS | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.