Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALLEN ELLISON, O.D.
ActiveDR. MARK ALLEN ELLISON, O.D. is a Optometrist healthcare provider located in BETHALTO, Illinois. NPI 1952509424 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BETHALTO, IL
Registration Details
- NPI Number
- 1952509424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (19.091612769709 yrs)
- Last Updated
- Aug 21, 2008
- License
-
046-007313 (IL)
Practice Information
- Address
-
422 W BETHALTO DRBETHALTO, IL, 620101700Browse IL providers · Browse ZIP 62010
- Phone
- 6183775221
- Fax
- 6183775220
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BETHALTO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LYNLEY ATWOOD | O.D. | 1437508785 |
| DR. SHELBY NICOLE GRIGGS | OD | 1912781931 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.