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: July 19, 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
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

Other Identifiers 4

Medicare PINP00476034IL
Medicare PINL20274IL
Medicare UPINT37740IL
Medicare NSC0241360001IL

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services42 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
11 services11 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

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 1952509424, enumerated as an "individual" on July 06, 2007.

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.