1. Home
  2. Directory
  3. Illinois
  4. Bethalto
  5. Optometrist
  6. NPI Profile

DR. MARK ALLEN ELLISON O.D.
NPI 1952509424
Optometrist in Bethalto, IL

Active since July 06, 2007
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: August 23, 2026.

About Dr. Mark Allen Ellison O.d. NPPES

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

DR. MARK ALLEN ELLISON O.D. (NPI 1952509424) is an individual optometrist in Bethalto, Illinois, licensed in Illinois (046-007313) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1952509424
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK ALLEN ELLISONCredential: O.D.
Location Address422 W BETHALTO DRBethalto, IL 62010-1700
Mailing Address422 W Bethalto DrBethalto, IL 62010-1700 · (618) 377-5221 · Fax (618) 377-5220
Phone(618) 377-5221
Fax(618) 377-5220
Sole ProprietorNo
Enumeration DateJuly 6, 2007
Last NPPES UpdateAugust 21, 2008
✔ NPI 1952509424 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 · 046-007313
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
Open in Google Maps ↗

Other Identifiers 4

Medicare PINP00476034IL
Medicare PINL20274IL
Medicare UPINT37740IL
Medicare NSC0241360001IL

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.

MARK A ELLISON, LTD
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-5221
LYNLEY E ATWOOD, LLC
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-5221
DR. LYNLEY ATWOOD O.D.
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-5221
DR. SHELBY NICOLE GRIGGS OD
Optometrist
422 W BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-5221

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 Mark Ellison's NPI number?

The NPI number for Mark Ellison is 1952509424. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Mark Ellison located?

Mark Ellison practices at 422 W Bethalto Dr, Bethalto, IL 62010. The listed phone number is (618) 377-5221.

What is Mark Ellison'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 Mark Ellison was last updated on August 21, 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.