National Provider Identifier Database

ILLINI OPTOMETRIC PC
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.


Contact Information

ILLINI OPTOMETRIC PC
3300 GODFREY RD
GODFREY, IL62035
Phone: 618-466-8787
Fax: 618-466-4703
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ILLINI OPTOMETRIC PC

NPI Number 1780850032
Legal business name
LBN
ILLINI OPTOMETRIC PC
Authorized official MARK FERGUSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/07/2008
Last updated 05/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 060005314

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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