FAMILY VISION CARE OF SOUTHERN ILLINOIS
NPI 1013967116
Optometrist in Bethalto, IL

Active since May 11, 2006
422 W BETHALTO DR, BETHALTO, IL 62010(618) 377-5221(618) 377-5220 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Vision Care Of Southern Illinois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY VISION CARE OF SOUTHERN ILLINOIS (NPI 1013967116) is a healthcare organization registered as an optometrist in Bethalto, Illinois and active in the NPI registry since May 2006. The organization lists Mark A. Ellison, President, as its authorized official.

NPPES Registry Identity

NPI1013967116
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMARK A ELLISON, LTD
Location Address422 W BETHALTO DRBethalto, IL 62010-1700
Mailing Address422 W Bethalto DrBethalto, IL 62010-1700 · (618) 377-5221 · Fax (618) 377-5220
Fax(618) 377-5220
Organization SubpartNo
Authorized OfficialMark A. EllisonPresident · (618) 635-2424
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 21, 2008
NPI 1013967116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IL · 046007313
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

422 W BETHALTO DR, Bethalto, IL 62010

Other Names 1

Doing Business AsFamily Vision Care Of Southern Illinois

Other Identifiers 4

Medicare PINDH1681IL
Medicare NSC0241360001IL
Medicare PIN976180IL
Medicare UPINT37740IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013967116, enumerated as an "organization" on May 11, 2006.

The provider is located at 422 W BETHALTO DR BETHALTO, IL 62010 and the phone number is (618) 377-5221.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.