OrganizationActive
Ideal Eye Surgery LLC
NPI 1366966186 · Ophthalmology Physician · O Fallon, IL
Provider details
- NPI number
- 1366966186
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Stock, Owner(618) 391-1660
- License
- 036.141217 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
705 Insight Ave
O Fallon, IL 62269-2146
Phone: (618) 391-1660
Fax: (618) 861-6003
Approximate (ZIP-level) locationGet directions
Mailing address
705 Insight Ave
O Fallon, IL 62269-2146
Additional practice locations (3)
- 1 Professional Dr Ste 260Alton, IL 62002-5068Phone: (618) 391-1660Fax: (618) 861-6003
- 12101 Woodcrest Executive Dr Ste 150Saint Louis, MO 63141-5050Phone: (618) 391-1660Fax: (618) 861-6003
- 12400 Olive Blvd Ste 200Saint Louis, MO 63141-5436Phone: (314) 391-9400Fax: (618) 861-6003
Registry dates
- Enumerated
- 2017-08-02
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.