Illini Optometric PC

Illini Optometric PC is a healthcare organization registered as Optometrist in Godfrey, IL, holding Type 2 (organization) NPI 1780850032 since 2008. The authorized official on file is Mark Ferguson, President.

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NPI	1780850032
Entity type	Organization (Type 2)
Legal business name	Illini Optometric PC
Practice address	3300 GODFREY RD, Godfrey, IL, 62035
Phone	6184668787
Fax	6184664703
Enumeration date	2008-05-07
Last updated in NPPES	2008-05-07

Authorized official

Name	Mark Ferguson
Title	President
Phone	6184468787

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	060005314	IL

Copy-ready billing details

Provider: Illini Optometric PC
NPI: 1780850032
Taxonomy: 152W00000X (Optometrist)
Address: 3300 GODFREY RD, Godfrey, IL, 62035

Providers at this address

NPI	Name	Type	Specialty	Location
1669444063	Rose Optical, Inc.	Organization	Optometrist	Godfrey, IL
1720170921	Ron Loflin	Individual	Optometrist	Godfrey, IL
1467533661	Adeyinka Adewale	Individual	Optometrist	Godfrey, IL
1598897456	Mark Ferguson	Individual	Optometrist	Godfrey, IL
1861614810	Keith Lyston	Individual	Optometrist	Godfrey, IL
1174774079	Bradley Martinson	Individual	Optometrist	Godfrey, IL

Verify this record

Cross-check NPI 1780850032 against the authoritative CMS record: view Illini Optometric PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Illini Optometric PC located?

The practice location on file with NPPES is in Godfrey, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-07.