DR. MARK ALLEN ELLISON (NPI# 1952509424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952509424 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN ELLISON |
| Credential | O.D. |
| Practice Address |
422 W Bethalto Dr Bethalto IL 62010-1700 |
| Practice Telephone | 6183775221 |
| Practice Fax Number | 6183775220 |
| Mailing Telephone | 6183775221 |
| Mailing Fax Number | 6183775220 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-007313 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215271234 | Mark T Ellison | Chiropractor | 761 Lakeland Ct, Carmel, IN 46032-1205 | 2012-11-15 |
| 1730427063 | Mark Ellison | Marriage & Family Therapist | 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064-2597 | 2013-01-22 |
| 1265431092 | Mark Frederick Ellison | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| Street Address |
422 W BETHALTO DR |
| City | BETHALTO |
| State | IL |
| Zip Code | 62010-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013967116 | Mark A Ellison, Ltd | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010-1700 | 2006-05-11 |
| 1134636491 | Lynley E Atwood, LLC | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010 | 2018-01-08 |
| 1437508785 | Lynley Atwood | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010-1910 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558727990 | Mccormick Physical Therapy & Athletic Rehab | Physical Therapist | 131 Greenbrier Ln, Bethalto, IL 62010 | 2016-01-14 |
| 1063855310 | Hall Chiropractic LLC | Chiropractor | 106 Terrace St, Bethalto, IL 62010 | 2013-04-16 |
| 1538443502 | Rudy Mack | Pharmacist | 172 E Mcarthur Blvd, Bethalto, IL 62010 | 2011-10-07 |
| 1851308092 | Thomas Lawrence Kaltenbronn | Chiropractor | 164 E. Mcarthur, Bethalto, IL 62010 | 2006-08-01 |
| 1124515580 | Stephany Renee Luchtefeld | Nurse Practitioner | 159 E Mcarthur Dr, Bethalto, IL 62010 | 2018-04-20 |
| 1689101172 | Lindsey Nicole Naylor | Nurse Practitioner | 155 E Bethalto Dr, Bethalto, IL 62010 | 2017-05-16 |
| 1356624894 | Erin Michelle Austin | Pharmacist | 68 N Bellwood Rd, Bethalto, IL 62010 | 2011-09-21 |
| 1114170321 | Danielle Marie Atwood | Occupational Therapist | 1008 2nd St, Bethalto, IL 62010-1027 | 2008-10-31 |
| 1205053196 | Joseph B. Martin | Occupational Therapist | 335 Whispering Oaks Dr, Bethalto, IL 62010-1039 | 2007-04-20 |
| 1760433387 | Bethalto Cu School Dist 8 | Local Education Agency (LEA) | 225 James St, Bethalto, IL 62010-1317 | 2006-05-16 |
| Find all providers in zip 62010 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013967116 | Mark A Ellison, Ltd | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010-1700 | 2006-05-11 |
| 1134636491 | Lynley E Atwood, LLC | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010 | 2018-01-08 |
| 1437508785 | Lynley Atwood | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010-1910 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.