IDEAL EYE SURGERY LLC NPI 1366966186

NPI Information

  • NPI: 1366966186
  • Provider Name: IDEAL EYE SURGERY LLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 705 INSIGHT AVE
    O FALLON, IL
    ZIP 62269
  • Phone: (618) 391-1660

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NPI Details

IDEAL EYE SURGERY LLC is an ophthalmology in O Fallon, IL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. IDEAL EYE SURGERY LLC NPI is 1366966186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

705 INSIGHT AVE
O FALLON, IL
ZIP 62269-146
Phone: (618) 391-1660
Fax: (618) 861-6003

The provider's authorized official is Michael Vincent Stock .
The authorized official title is Owner and has the following contact phone number (618) 391-1660.

The enumeration date for this NPI number is 8/2/2017 and was last updated on 10/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology036.141217ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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