Active NPI
Ideal Eye Surgery LLC
- Ophthalmology Physician
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036.141217
- Legal business name
- IDEAL EYE SURGERY LLC
- Practice address
- 705 Insight Ave
O Fallon, IL 62269-2146 - Phone
- (618) 391-1660
- Fax
- (618) 861-6003
- NPI assigned
- Aug 2, 2017
- Last updated
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Vincent Stock, M.D.
- Title
- Owner
- Phone
- (618) 391-1660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036.141217 | IL | Primary |
Addresses
Primary practice location
705 Insight Ave
O Fallon, IL 62269-2146
Mailing address
705 Insight Ave
O Fallon, IL 62269-2146
Phone (618) 391-1660
Other practice location 1
12400 Olive Blvd Ste 200
Saint Louis, MO 63141-5436
Phone (314) 391-9400
Other practice location 2
1 Professional Dr Ste 260
Alton, IL 62002-5068
Phone (618) 391-1660
Other practice location 3
12101 Woodcrest Executive Dr Ste 150
Saint Louis, MO 63141-5050
Phone (618) 391-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1 Professional Dr
Ste 260
Alton, IL 62002
Phone (314) 921-2020
289 N Main St
Breese, IL 62230
324 5th St
Carrollton, IL 62016
1188 S State Route 157
Ste 100
Edwardsville, IL 62025
Phone (618) 692-5900
900 W Temple Ave
Bldg A
Effingham, IL 62401
900 W Temple Ave
Bldg A104
Effingham, IL 62401
1215 Franciscan Dr
#2
Litchfield, IL 62056
Phone (217) 324-8780
1660 Essex Way
Ste A
O Fallon, IL 62269
705 Insight Ave
O Fallon, IL 62269
Phone (618) 738-0337
207 E Pleasant St
Taylorville, IL 62568
12400 Olive Blvd
Ste 240
Saint Louis, MO 63141
320 Washington Ave
Washington, MO 63090
Phone (314) 239-2179
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- O'Fallon, IL
- NPI 1952783235
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Saint Louis, MO
- NPI 1871170183
IL, Ophthalmology
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1033349741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1366966186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 INSIGHT AVE",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692146",
"telephone_number": "618-391-1660",
"fax_number": "618-861-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 INSIGHT AVE",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692146",
"telephone_number": "618-391-1660",
"fax_number": "618-861-6003"
}
],
"practiceLocations": [
{
"address_1": "12400 Olive Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631415436",
"country_code": "US",
"telephone_number": "314-391-9400",
"fax_number": "618-861-6003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Professional Dr Ste 260",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620025068",
"country_code": "US",
"telephone_number": "618-391-1660",
"fax_number": "618-861-6003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12101 Woodcrest Executive Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631415050",
"country_code": "US",
"telephone_number": "618-391-1660",
"fax_number": "618-861-6003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IDEAL EYE SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-02",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "STOCK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-391-1660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036.141217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.