Mark Allen Ellison, O.D.
Optometrist · Bethalto, IL
Practice location
422 W Bethalto DrBethalto, IL 62010-1700
- Phone
- (618) 377-5221
- Fax
- (618) 377-5220
NPI record
- NPI
- 1952509424
- Entity type
- Individual (Type 1)
- Enumeration date
- July 6, 2007
- Last updated
- August 21, 2008
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
046-007313 | IL |
About Dr. Ellison
Mark Allen Ellison, O.D. is a healthcare provider 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 1952509424 was assigned on July 6, 2007 and the record was last updated on August 21, 2008.
Dr. Ellison lists a license in the registry: #046-007313 (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 Allen Ellison, O.D.?
The NPI number is 1952509424.
What is the phone number of Dr. Ellison?
The phone number listed for the practice location is (618) 377-5221.
Where is Dr. Ellison located?
422 W Bethalto Dr, Bethalto, IL 62010-1700.
What is the taxonomy code for Dr. Ellison?
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
- Mark a Ellison, LTD422 W Bethalto Dr
- Lynley E Atwood, LLC422 W Bethalto Dr
- Lynley Atwood, O.D.422 W Bethalto Dr
- Shelby Nicole Griggs, OD422 W Bethalto Dr