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IDEAL EYE SURGERY LLC
NPI 1366966186
Ophthalmology in O Fallon, IL

Active since August 02, 2017
705 INSIGHT AVE, O FALLON, IL 62269(618) 391-1660(618) 861-6003 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2025, May 10, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ideal Eye Surgery Llc NPPES

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

IDEAL EYE SURGERY LLC (NPI 1366966186) is a healthcare organization registered as an ophthalmology in O Fallon, Illinois and active in the NPI registry since August 2017. The organization maintains 3 additional practice locations and lists Michael Vincent Stock, Owner, as its authorized official.

NPPES Registry Identity

NPI1366966186
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameIDEAL EYE SURGERY LLC
Location Address705 INSIGHT AVEO Fallon, IL 62269-2146
Mailing Address705 Insight AveO Fallon, IL 62269-2146 · (618) 391-1660 · Fax (618) 861-6003
Phone(618) 391-1660
Fax(618) 861-6003
Organization SubpartNo
Authorized OfficialMichael Vincent StockOwner · (618) 391-1660
Enumeration DateAugust 2, 2017
Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1366966186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036.141217
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
705 INSIGHT AVE, O Fallon, IL 62269
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Secondary Practice Locations 3

Location 112400 Olive Blvd Ste 200Saint Louis, MO 63141-5436 · Phone (314) 391-9400 · Fax (618) 861-6003
Location 21 Professional Dr Ste 260Alton, IL 62002-5068 · Phone (618) 391-1660 · Fax (618) 861-6003
Location 312101 Woodcrest Executive Dr Ste 150Saint Louis, MO 63141-5050 · Phone (618) 391-1660 · Fax (618) 861-6003

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ideal Eye Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Ideal Eye Surgery LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology10
Optometry3

Clinicians, nearest first (13)

Cameron Evans, D.O.
Ophthalmology
NPI 1528447174
705 INSIGHT AVE
O Fallon, IL 62269
(618) 391-1660
✔ PECOS✔ Accepts MedicareSame address
Wesley Green, MD
Ophthalmology
NPI 1851736037
705 INSIGHT AVE
O Fallon, IL 62269
(618) 738-0337
✔ PECOS✔ Accepts MedicareSame address
Nicole Lowrey, MD, PHD
Ophthalmology
NPI 1356902381
705 INSIGHT AVE
O Fallon, IL 62269
(618) 391-1660
✔ PECOS✔ Accepts MedicareSame address
Whitney Marlow, M.D.
Ophthalmology
NPI 1952783235
705 INSIGHT AVE
O Fallon, IL 62269
(618) 391-1660
✔ PECOS✔ Accepts MedicareSame address
Michael Stock, MD
Ophthalmology
NPI 1730442500
705 INSIGHT AVE
O Fallon, IL 62269
(618) 391-1660
✔ PECOS✔ Accepts MedicareSame address
Taylor Wolkart, OD
Optometry
NPI 1831761360
705 INSIGHT AVE
O Fallon, IL 62269
(618) 391-1660
✔ PECOS✔ Accepts MedicareSame address
Jessica Weis, OD
Optometry
NPI 1205406766
735 INSIGHT AVE
O Fallon, IL 62269
(618) 628-2903
✔ PECOS✔ Accepts Medicare0.1 mi
Nancy Buchser, MD
Ophthalmology
NPI 1033349741
4921 PARKVIEW PL STE 14F
Saint Louis, MO 63110
(314) 361-5003
✔ PECOS✔ Accepts Medicare19 mi
Sharon Jick, M.D.
Ophthalmology
NPI 1801830039
9890 CLAYTON RD SUITE 200
Saint Louis, MO 63124
(314) 395-9613
✔ PECOS✔ Accepts Medicare25 mi
Tonya Bourn, O.D.
Optometry
NPI 1851340152
12101 WOODCREST EXECUTIVE DR STE 150
Creve Coeur, MO 63141
(314) 863-9966
✔ PECOS✔ Accepts Medicare29 mi
Lawrence Gans, M.D.
Ophthalmology
NPI 1396748000
12101 WOODCREST EXECUTIVE DR STE 150
Creve Coeur, MO 63141
(314) 863-9966
✔ PECOS✔ Accepts Medicare29 mi
Rocio Bentivegna, MD
Ophthalmology
NPI 1871170183
12400 OLIVE BLVD
Saint Louis, MO 63141
(314) 391-9400
✔ PECOS✔ Accepts Medicare29 mi
Grace Paley, MD
Ophthalmology
NPI 1184038986
12400 OLIVE BLVD STE 200
Saint Louis, MO 63141
(314) 391-9400
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ideal Eye Surgery LLC's NPI number?

The NPI number for Ideal Eye Surgery LLC is 1366966186. It was assigned to this organization in the NPPES registry on August 2, 2017.

Where is Ideal Eye Surgery LLC located?

Ideal Eye Surgery LLC is located at 705 Insight Ave, O Fallon, IL 62269. The listed phone number is (618) 391-1660.

What is Ideal Eye Surgery LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ideal Eye Surgery LLC enrolled in Medicare?

Yes. Ideal Eye Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ideal Eye Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Ideal Eye Surgery LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (10) and Optometry (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ideal Eye Surgery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ideal Eye Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ideal Eye Surgery LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.