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14D2247061 CLIA NUMBER - ALLIED VISION SOURCE MACON COUNTY

Laboratory Demographics

CLIA Number: 14D2247061

Facility Name: ALLIED VISION SOURCE MACON COUNTY

Facility Address:
2475 N MONROE ST
DECATUR, IL
ZIP 62526
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Facility Phone Number: 217 575-5900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1861860363

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 14D2247061
LAB Type Physician Office
Facility Name ALLIED VISION SOURCE MACON COUNTY
Street 2475 N MONROE ST
City DECATUR
State IL
ZIP 62526
Phone 217 575-5900
CertificateType 4
CertificateEffectiveDate 1/4/2024
CertificateExpirationDate 1/3/2026
FacilityType Waiver

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