Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Ibisch, OD

Individual provider Optometrist · NPI 1700356912

Andrew Ibisch, OD is an Optometry in Godfrey, Illinois. Graduated from University of Missouri St Louis - School of Optometry in 2018, 8 years ago. Practices with Christina J. Levi O D P C., a 63-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IL
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

1310 Dadrian Prof Park
Godfrey, IL 62035-1685
Phone: (618) 433-5005
Fax: (618) 467-1053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6660 Godfrey Rd, Godfrey, IL 62035-2219 — (618) 433-3008
  • 110 Davidson Rd, Mount Vernon, IL 62864-6741 — (618) 244-7119
  • 610 Wesley Dr, Wood River, IL 62095-1894 — (618) 259-0290

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.011262 (IL)

Record details

NPI number1700356912
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 30, 2018
Last updated in NPPESDecember 17, 2018
Mailing addressPo Box 207163, Dallas, TX 75320-7154

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Christina J. Levi O D P C. — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Godfrey