OrganizationActive
Mark a Ellison, Ltd
NPI 1013967116 · Optometrist · Bethalto, IL
Provider details
- NPI number
- 1013967116
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mark Ellison, President(618) 635-2424
- License
- 046007313 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
422 W Bethalto Dr
Bethalto, IL 62010-1700
Phone: (618) 377-5221
Fax: (618) 377-5220
Street-level locationGet directions
Mailing address
422 W Bethalto Dr
Bethalto, IL 62010-1700
Other names (DBA / former)
- Doing business as
- Family Vision Care of Southern Illinois
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2008-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.