FAIRBURY VISION CENTER LLC
NPI 1144639105
Optometrist in Fairbury, IL

Active since August 04, 2014CLIA 14D2093409 · Waiver
2 ASPEN CT, FAIRBURY, IL 61739(815) 692-2415(815) 692-2675 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fairbury Vision Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRBURY VISION CENTER LLC (NPI 1144639105) is a healthcare organization registered as an optometrist in Fairbury, Illinois and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Rose Gerber, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1144639105
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFAIRBURY VISION CENTER LLC
Location Address2 ASPEN CTFairbury, IL 61739-1487
Mailing Address2 Aspen CtFairbury, IL 61739-1487 · (815) 692-2415 · Fax (815) 692-2675
Fax(815) 692-2675
Organization SubpartNo
Authorized OfficialRose GerberBusiness Manager · (815) 692-2415
Enumeration DateAugust 4, 2014
Last NPPES UpdateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
NPI 1144639105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

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.

2 ASPEN CT, Fairbury, IL 61739

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2093409

Fairbury Vision Center LLC · Fairbury, IL
Active · expires Mar 25, 2027
CLIA Number14D2093409
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorSasha L. Radford
Laboratory Phone(815) 692-2415
Laboratory LocationFairbury Vision Center LLC2 Aspen Court, Fairbury, IL 61739
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Fairbury Vision Center LLC carries, from the Medicare DMEPOS supplier directory.

Fairbury Vision Center LLC

DMEPOS supplier · Fairbury, IL

Accepts Medicare assignment

Fairbury Vision Center LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20486657
Medicare Participant SinceDecember 15, 2014
Supplier Location2 Aspen CourtFairbury, IL 61739
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2 ASPEN CT
FAIRBURY, IL 61739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairbury Vision Center LLC's NPI number?

The NPI number for Fairbury Vision Center LLC is 1144639105. It was assigned to this organization in the NPPES registry on August 4, 2014.

Where is Fairbury Vision Center LLC located?

Fairbury Vision Center LLC is located at 2 Aspen Ct, Fairbury, IL 61739. The listed phone number is (815) 692-2415.

What is Fairbury Vision Center LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Fairbury Vision Center LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fairbury Vision Center LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Fairbury Vision Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2093409) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairbury Vision Center LLC was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.