Organization
IDEAL EYE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VINCENT STOCK M.D. (OWNER)
(618) 391-1660
Entity
Organization
Contact information
Practice address
705 INSIGHT AVE, O FALLON, IL 62269-2146
(618) 391-1660
(618) 861-6003
Mailing address
705 INSIGHT AVE, O FALLON, IL 62269-2146
(618) 391-1660
(618) 861-6003
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.141217
IL
Other
Enumeration date
08/02/2017
Last updated
10/16/2025
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