# IDEAL EYE SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366966186
- **Authorized official:** DR. MICHAEL VINCENT STOCK M.D. (OWNER)
- **Authorized official phone:** (618) 391-1660

## Contact information

- **Practice address:** 705 INSIGHT AVE, O FALLON, IL 62269-2146
- **Practice address phone:** (618) 391-1660
- **Practice address fax:** (618) 861-6003
- **Mailing address:** 705 INSIGHT AVE, O FALLON, IL 62269-2146
- **Mailing address phone:** (618) 391-1660
- **Mailing address fax:** (618) 861-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036.141217 | IL | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 10/16/2025