14D2093409 CLIA NUMBER - FAIRBURY VISION CENTER LLC

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Laboratory Demographics

CLIA Number: 14D2093409

Facility Name: FAIRBURY VISION CENTER LLC

Facility Address:
2 ASPEN COURT
FAIRBURY, IL
ZIP 61739
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Facility Phone Number: 815 692-2415

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144639105

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	14D2093409
LAB Type	Physician Office
Facility Name	FAIRBURY VISION CENTER LLC
Street	2 ASPEN COURT
City	FAIRBURY
State	IL
ZIP	61739
Phone	815 692-2415
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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