OrganizationActive
Illini Optometric PC
NPI 1780850032 · Optometrist · Godfrey, IL
Illini Optometric PC is a Optometrist organization in Godfrey, IL (NPI 1780850032).
Provider details
- NPI number
- 1780850032
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mark Ferguson, President(618) 446-8787
- License
- 060005314 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3300 Godfrey Rd
Godfrey, IL 62035
Phone: (618) 466-8787
Fax: (618) 466-4703
Street-level locationGet directions
Mailing address
Po Box 5040
Godfrey, IL 62035
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2008-05-07
Frequently asked questions
- What is Illini Optometric PC's NPI number?
- Illini Optometric PC's National Provider Identifier (NPI) is 1780850032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illini Optometric PC?
- Illini Optometric PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Illini Optometric PC located?
- Illini Optometric PC's practice location on file with NPPES is 3300 Godfrey Rd, Godfrey, IL 62035.
- What is Illini Optometric PC's phone number?
- The practice phone number listed in the NPPES registry for Illini Optometric PC is (618) 466-8787.
- Who is the authorized official for Illini Optometric PC?
- The authorized official listed on Illini Optometric PC's NPPES record is Mark Ferguson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illini Optometric PC's NPI active?
- Yes — Illini Optometric PC's NPI (1780850032) is active in the NPPES registry as of the last update on 2008-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.