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Illini Optometric PC

Optometrist in Godfrey, IL · enumerated 2008 · authorized official Mark Ferguson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780850032

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Registry record

Entity type Organization (Type 2)
Legal business name Illini Optometric PC
Practice address 3300 Godfrey Rd, Godfrey, IL, 62035
Phone (618) 466-8787
Fax (618) 466-4703
Enumeration date May 7, 2008
Last updated in NPPES May 7, 2008

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 060005314 (IL) Primary

Authorized official

Name Mark Ferguson
Title President
Phone (618) 446-8787

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.

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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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-07.