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

Dr. Mark Allen Ellison, OD

Individual provider Optometrist · NPI 1952509424

Dr. Mark Allen Ellison, OD is an Optometrist in Bethalto, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

422 W Bethalto Dr
Bethalto, IL 62010-1700
Phone: (618) 377-5221
Fax: (618) 377-5220
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046-007313 (IL)

Record details

NPI number1952509424
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 6, 2007
Last updated in NPPESAugust 21, 2008

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