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ILLINI OPTOMETRIC PC
NPI 1780850032
Optometrist in Godfrey, IL

Active since May 07, 2008
3300 GODFREY RD, GODFREY, IL 62035(618) 466-8787(618) 466-4703 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illini Optometric Pc NPPES

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

ILLINI OPTOMETRIC PC (NPI 1780850032) is a healthcare organization registered as an optometrist in Godfrey, Illinois and active in the NPI registry since May 2008. The organization lists Mark E Ferguson, President, as its authorized official.

NPPES Registry Identity

NPI1780850032
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameILLINI OPTOMETRIC PC
Location Address3300 GODFREY RDGodfrey, IL 62035
Mailing AddressPo Box 5040Godfrey, IL 62035 · (618) 466-8787 · Fax (618) 466-4703
Phone(618) 466-8787
Fax(618) 466-4703
Organization SubpartNo
Authorized OfficialMark E FergusonPresident · (618) 446-8787
Enumeration DateMay 7, 2008
✔ NPI 1780850032 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 · 060005314
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.
3300 GODFREY RD, Godfrey, IL 62035
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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 6

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

BRADLEY D MARTINSON OD
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
ADEYINKA A ADEWALE O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
DR. MARK EDWARD FERGUSON O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
ROSE OPTICAL, INC.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
RON LOFLIN O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
DR. KEITH LYSTON O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787

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 Illini Optometric PC's NPI number?

The NPI number for Illini Optometric PC is 1780850032. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Illini Optometric PC located?

Illini Optometric PC is located at 3300 Godfrey Rd, Godfrey, IL 62035. The listed phone number is (618) 466-8787.

What is Illini Optometric PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Illini Optometric PC was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.