Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740384189 Individual Practitioner Female Practitioner

Dr. Irene Fedorovich , MD

Ophthalmology • Marion, IL

Professional Overview & Biography Verified Profile Summary

Dr. Irene Fedorovich, MD is a registered healthcare professional specializing in Ophthalmology in Marion, IL. Practice services are available at 2401 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6189975311
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1750349429

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Marion, IL (954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

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.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MO 2003028760

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
2003028760 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jenny Armendarez

Technician - Attendant Care Provider

NPI 1003467481
NPI 1003672486

REGISTEREDNURSE

Tameeka Marvin

Registered Nurse

NPI 1013613397
Bobbie Emery , RN

Registered Nurse - Ambulatory Care

NPI 1013615806

Registered Nurse

Lesli Noto , RN

Registered Nurse - Oncology

NPI 1013616770

Registered Nurse

Adrienne Franks

Registered Nurse

NPI 1013617604

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

📍
Updated Business Mailing Address July 08, 2007

Registered at 619 LAKE HARBOR DR, MARION, IL 629595550

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IRENE FEDOROVICH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #2003028760 in MO)

🟢
Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740384189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

619 Lake Harbor Dr

Marion, IL 629595550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.