DR. Mark Allen Ellison, O.D.

NPI #1952509424 in Bethalto, Illinois

Provider Information

NPI Number: 1952509424
Entity Type: Individual
Name: DR. Mark Allen Ellison, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 6, 2007
Last Updated: Aug 21, 2008

Practice Location

Address: 422 W BETHALTO DR
City: Bethalto
State: Illinois
ZIP Code: 62010-1700
Phone: (618) 377-5221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Lynley Atwood, O.D.	Optometrist	Bethalto	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Mark a Ellison, Ltd	Optometrist	Bethalto	AI Deep Dive
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