ALLIED VISION SOURCE, LLC
NPI 1861860363
Optometrist in Decatur, IL
About Allied Vision Source, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLIED VISION SOURCE, LLC (NPI 1861860363) is a healthcare organization registered as an optometrist in Decatur, Illinois and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through January 3, 2028, maintains a secondary practice location in Mt Zion, and lists Robert W Jones, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allied Vision Source, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Allied Vision Source, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 14D2247061
Allied Vision Source Macon County · Decatur, ILMedical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Allied Vision Source carries, from the Medicare DMEPOS supplier directory.
Allied Vision Source
DMEPOS supplier · Decatur, ILOperated by Allied Vision Source LLCAccepts Medicare assignment
Allied Vision Source 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.
Medicare Product Categories
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 Allied Vision Source, LLC's NPI number?
The NPI number for Allied Vision Source, LLC is 1861860363. It was assigned to this organization in the NPPES registry on September 14, 2015.
Where is Allied Vision Source, LLC located?
Allied Vision Source, LLC is located at 2475 N Monroe St, Decatur, IL 62526. The listed phone number is (217) 663-0118.
What is Allied Vision Source, LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Allied Vision Source, LLC enrolled in Medicare?
Yes. Allied Vision Source, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Allied Vision Source, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Allied Vision Source, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Allied Vision Source, LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Allied Vision Source accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Allied Vision Source, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2247061) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Allied Vision Source, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Allied Vision Source, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Allied Vision Source, LLC was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Allied Vision Source, Llc · NPI 1861860363
Optometrist organization in Decatur, Illinois. Organization record, active in the CMS NPPES registry since September 14, 2015.
## Identity
- **NPI:** 1861860363 (Entity type: Organization)
- **Enumerated:** September 14, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Robert Jones, PRESIDENT
## Practice location
- **Address:** 2475 N MONROE ST, Decatur, IL 62526-3941
- **Phone:** (217) 663-0118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861860363) · Data from the CMS NPPES public registry.