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ALLIED VISION SOURCE LLC NPI 1861860363


NPI Information

NPI: 1861860363
Provider Name: ALLIED VISION SOURCE, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 14D2247061

Address:
2475 N MONROE ST
DECATUR, IL
ZIP 62526
Phone: (217) 663-0118
Get Directions

ALLIED VISION SOURCE, LLC is an optometrist in Decatur, IL. The provider is 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. ALLIED VISION SOURCE, LLC NPI is 1861860363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2475 N MONROE ST
DECATUR, IL
ZIP 62526-941
Phone: (217) 663-0118

The provider's authorized official is Robert W Jones .
The authorized official title is President and has the following contact phone number (217) 663-0118.

The CLIA number assigned to this NPI record is 14D2247061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 3/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist046.06977ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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