NPI 1952367351

Marcus S Deranian, MD

Practitioner Ophthalmology Physician Decatur, IL

Practice location

Address: 2442 N Route 121, Decatur, IL 62526-9461
Phone: (217) 233-3101
Fax: (217) 233-3107

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 036-069820 (IL)

Other Ophthalmology providers in Illinois →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 036069820 (IL)

Other Optometrist providers in Illinois →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 036069820 (IL)

Registry record

NPI: 1952367351
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2006
Record last updated: 20 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.