Mark Edward Ferguson, O.D.

Optometrist · Godfrey, IL

Individual Active NPI

NPI number 1598897456

Practice location

3300 Godfrey Rd
Godfrey, IL 62035-2558
Phone
(618) 466-8787
Fax
(618) 466-4703

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NPI record

NPI
1598897456
Entity type
Individual (Type 1)
Enumeration date
March 9, 2007
Last updated
September 2, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046008331 IL

Mailing address

40 Kingsley Way
Glen Carbon, IL 62034-1548
Phone
(618) 288-7350

About Dr. Ferguson

Mark Edward Ferguson, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3300 Godfrey Rd, Godfrey, IL 62035-2558. The NPI number 1598897456 was assigned on March 9, 2007 and the record was last updated on September 2, 2010.

Dr. Ferguson lists a license in the registry: #046008331 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Edward Ferguson, O.D.?

The NPI number is 1598897456.

What is the phone number of Dr. Ferguson?

The phone number listed for the practice location is (618) 466-8787.

Where is Dr. Ferguson located?

3300 Godfrey Rd, Godfrey, IL 62035-2558.

What is the taxonomy code for Dr. Ferguson?

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.

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