Illini Optometric PC
Optometrist · Godfrey, IL
Practice location
3300 Godfrey RdGodfrey, IL 62035
- Phone
- (618) 466-8787
- Fax
- (618) 466-4703
NPI record
- NPI
- 1780850032
- Entity type
- Organization (Type 2)
- Enumeration date
- May 7, 2008
- Last updated
- May 7, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
060005314 | IL |
Mailing address
PO Box 5040Godfrey, IL 62035
- Phone
- (618) 466-8787
- Fax
- (618) 466-4703
Authorized official
- Name
- Mark E Ferguson, OD
- Title
- President
- Phone
- (618) 446-8787
About Illini Optometric PC
Illini Optometric PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3300 Godfrey Rd, Godfrey, IL 62035. The NPI number 1780850032 was assigned on May 7, 2008 and the record was last updated on May 7, 2008.
Illini Optometric PC lists a license in the registry: #060005314 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mark E Ferguson, OD, President.
Frequently asked questions
What is the NPI number of Illini Optometric PC?
The NPI number is 1780850032.
What is the phone number of Illini Optometric PC?
The phone number listed for the practice location is (618) 466-8787.
Where is Illini Optometric PC located?
3300 Godfrey Rd, Godfrey, IL 62035.
What is the taxonomy code for Illini Optometric PC?
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 Godfrey
- Bradley D. Martinson, OD3300 Godfrey Rd
- Adeyinka A. Adewale, O.D.3300 Godfrey Rd
- Mark Edward Ferguson, O.D.3300 Godfrey Rd
- Rose Optical, Inc.3300 Godfrey Rd
- Andrew Ibisch, OD1310 Dadrian Prof Park
- Ron Loflin, O.D.3300 Godfrey Rd
- Clarkson Optometry Illinois, P.C.1310 Dadrian Professional Park
- Keith Lyston, O.D.3300 Godfrey Rd