What is Mark Ellison's NPI number?

Mark Ellison's National Provider Identifier (NPI) is 1952509424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Ellison's specialty?

Mark Ellison is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Mark Ellison located?

Mark Ellison's practice location on file with NPPES is 422 W Bethalto Dr, Bethalto, IL 62010-1700.

What is Mark Ellison's phone number?

The practice phone number listed in the NPPES registry for Mark Ellison is (618) 377-5221.

Is Mark Ellison's NPI active?

Yes — Mark Ellison's NPI (1952509424) is active in the NPPES registry as of the last update on 2008-08-21.

IndividualActive

Mark Ellison, O.D.

NPI 1952509424 · Optometrist · Bethalto, IL

Mark Ellison, O.D. is a Optometrist provider in Bethalto, IL (NPI 1952509424).

Provider details

NPI number: 1952509424
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: 046-007313 (IL)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 046-007313 (IL)
Eye and Vision Services Providers

Profile Score

Detailed profile(89/100 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

422 W Bethalto Dr

Bethalto, IL 62010-1700

Phone: (618) 377-5221

Fax: (618) 377-5220

Street-level locationGet directions

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Mailing address