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Search › Illinois › 152W00000X

Mark Ferguson, O.D

NPI 1598897456 · on the registry since 2007

Practice

Address
3300 Godfrey Rd
Godfrey, IL 62035
Phone
(618) 466-8787
Fax
(618) 466-4703
Organisation at this address
Rose Optical, Inc.
Illini Optometric Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois