Mark a Ellison, LTD
Optometrist · Bethalto, IL
Practice location
422 W Bethalto DrBethalto, IL 62010-1700
- Phone
- (618) 377-5221
- Fax
- (618) 377-5220
NPI record
- NPI
- 1013967116
- Entity type
- Organization (Type 2)
- Enumeration date
- May 11, 2006
- Last updated
- August 21, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
046007313 | IL |
Authorized official
- Name
- Dr. Mark A. Ellison, O.D.
- Title
- President
- Phone
- (618) 635-2424
Other names
- Family Vision Care of Southern Illinois
About Mark a Ellison, LTD
Mark a Ellison, LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 422 W Bethalto Dr, Bethalto, IL 62010-1700. The NPI number 1013967116 was assigned on May 11, 2006 and the record was last updated on August 21, 2008.
Mark a Ellison, LTD lists a license in the registry: #046007313 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Mark A. Ellison, O.D., President.
Frequently asked questions
What is the NPI number of Mark a Ellison, LTD?
The NPI number is 1013967116.
What is the phone number of Mark a Ellison, LTD?
The phone number listed for the practice location is (618) 377-5221.
Where is Mark a Ellison, LTD located?
422 W Bethalto Dr, Bethalto, IL 62010-1700.
What is the taxonomy code for Mark a Ellison, LTD?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in Bethalto
- Lynley E Atwood, LLC422 W Bethalto Dr
- Lynley Atwood, O.D.422 W Bethalto Dr
- Shelby Nicole Griggs, OD422 W Bethalto Dr
- Mark Allen Ellison, O.D.422 W Bethalto Dr