14D1057643 CLIA NUMBER - PONTIAC FAMILY EYE CARE LLC

Laboratory Demographics

CLIA Number: 14D1057643

Facility Name: PONTIAC FAMILY EYE CARE LLC

Facility Address:
320 N LADD ST
PONTIAC, IL
ZIP 61764
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Facility Phone Number: 815 842-4304

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1700286143

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name	Field Value
CLIA Number	14D1057643
LAB Type	Practitioner Other
Facility Name	PONTIAC FAMILY EYE CARE LLC
Street	320 N LADD ST
City	PONTIAC
State	IL
ZIP	61764
Phone	815 842-4304
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024