DR. ERIC S MANN (NPI# 1841289014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841289014 |
Entity Type | Individual |
Full Name | DR. ERIC S MANN |
Credential | MD, PHD |
Practice Address |
4550 Memorial Dr Ste 350 Belleville IL 62226-5372 |
Mailing Address |
Po Box 503856 Saint Louis MO 63150-0001 |
Practice Telephone | 6186328100 |
Practice Fax Number | 6186328101 |
Mailing Telephone | 6186328100 |
Mailing Fax Number | 6186328101 |
Enumeration Date | 2005-10-19 |
Last Update Date | 2019-12-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 105431 | MO | Allopathic & Osteopathic Physicians |
Y | 207W00000X | Ophthalmology | 036-094928 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | PTAN | 000015461 | 01 |
IL | BCBSIL | 06030124 | 01 |
IL | GHP | 10585 | 01 |
IL | AETNA | 5234019 | 01 |
MO | EXCLUSIVE CHOICE MO | 00827 | 01 |
IL | HEALTHLINK | 255484 | 01 |
MO | ESSENCE MO | 000000012366 | 01 |
MO | BCBSMO | 143209 | 01 |
MO | RAILROAD MCR MO | CB6939 | 01 |
IL | PTAN | 213418 | 01 |
IL | UHC | 65960 | 01 |
IL | ESSENCE | 000000012366 | 01 |
MO | 207652041 | 05 | |
IL | COMMERCIAL CARRIERS | 431872920 | 01 |
IL | AETNA IL | 5234019 | 01 |
IL | EXCLUSIVE CHOICE | 008257 | 01 |
IL | CIGNA | 3411178005 | 01 |
MO | AETNA | 5234019 | 01 |
IL | RAILROAD MCR IL | CB6940 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2821 N Ballas Rd Ste C11, Saint Louis, MO 631312313 | 3148359400 | 3148359401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366826067 | Eric Mann | Social Worker | 2811 E Madison St Ste 205c, Seattle, WA 98112-4885 | 2015-07-13 |
1184040404 | Eric D. Mann | Nurse Practitioner | 4001 W 15th St Ste 245, Plano, TX 75093-5839 | 2014-03-11 |
1407860950 | Eric Mann | Otolaryngology | Walter Reed Army Medical Ctr, Department of Surgery/otolaryngology Service, Washington, DC 20307-0001 | 2006-07-28 |
1134141500 | Eric D Mann | Emergency Medicine | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2006-07-24 |
1508847930 | Eric B Mann | Ophthalmology | 600 Mount Pleasant Ave, Dover, NJ 07801-1629 | 2005-11-11 |
Street Address |
4550 MEMORIAL DR STE 350 |
City | BELLEVILLE |
State | IL |
Zip Code | 62226-5372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477694743 | Retina Group Limited PC | Specialist | 4550 Memorial Dr Ste 350, Belleville, IL 62226-5372 | 2007-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
Find all providers in zip 62226 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356570873 | Jerome Valerian Basinski | Ophthalmology | 50 Kings Pointe, Belleville, IL 62223-2268 | 2009-07-06 |
1841479441 | Eugene A Chiappetta Md Pa | Ophthalmology | Five Franklin Ave, Suite 610, Belleville, NJ 07109-3566 | 2007-10-31 |
1336363431 | Drs Szewczyk & Nekola LLC | Ophthalmology | 4900 West Main Street, Belleville, IL 62226-4725 | 2007-04-12 |
1356312508 | Michael J Landolfi | Ophthalmology | 567 Franklin Ave, Belleville, NJ 07109-1540 | 2006-01-27 |
1245226703 | Paul Stanley Szewczyk | Ophthalmology | 4900 W Main St, Belleville, IL 62226-4725 | 2005-09-21 |
1407851157 | Donald Richard Unwin | Ophthalmology | 111 W Lincoln St, Belleville, IL 62220-2019 | 2005-06-19 |
1588682876 | Eugene Achille Chiappetta | Ophthalmology | 5 Franklin Ave, Suite 610, Belleville, NJ 07109-3532 | 2006-07-17 |
1659307858 | Eye Surgeons and Physicians, Pa | Ophthalmology | 5 Franklin Ave, Suite 209, Belleville, NJ 07109-3532 | 2006-06-23 |
1366484222 | Rudolph Steven Wagner | Ophthalmology | 1 Clara Maass Drive, Belleville, NJ 07109-3550 | 2006-06-12 |
1366482838 | Vitreo Retinal Associates of Nj Pa | Ophthalmology | 36 Newark Ave, Suite 212, Belleville, NJ 07109-4119 | 2006-06-06 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62226 |
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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.