FAIRBURY VISION CENTER LLC
NPI 1144639105
Optometrist in Fairbury, IL
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
Specialties & Licenses
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.
Group Practice 1
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20486657
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2093409
- Facility Type
- Physician Office
- Certificate Effective Date
- March 26, 2025
- Certificate Expiration Date
- March 25, 2027
- Laboratory Director
- SASHA L. RADFORD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fairbury Vision Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144639105, enumerated as an "organization" on August 04, 2014.
The provider is located at 2 ASPEN CT FAIRBURY, IL 61739 and the phone number is (815) 692-2415.
Optometrist with taxonomy code 152W00000X.
