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ALLIED VISION SOURCE, LLC
NPI 1861860363
Optometrist in Decatur, IL

Active since September 14, 2015CLIA 14D2247061 · Waiver
2475 N MONROE ST, DECATUR, IL 62526(217) 663-0118 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1861860363
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameALLIED VISION SOURCE, LLC
Location Address2475 N MONROE STDecatur, IL 62526-3941
Mailing Address2475 N Monroe StDecatur, IL 62526-3941 · (217) 663-0118
Phone(217) 663-0118
Organization SubpartNo
Authorized OfficialRobert W JonesPresident · (217) 663-0118
Enumeration DateSeptember 14, 2015
Last NPPES UpdateMarch 25, 2019
✔ NPI 1861860363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.06977
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.
2475 N MONROE ST, Decatur, IL 62526
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Secondary Practice Location 1

Location 11410 E Village PkwyMT Zion, IL 62549-1253 · Phone (217) 615-2510 · Fax (217) 402-7544

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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, IL
Active · expires Jan 3, 2028
CLIA Number14D2247061
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorMatthew R. Jones
Laboratory Phone(217) 575-5900
Laboratory LocationAllied Vision Source Macon County2475 N Monroe St, Decatur, IL 62526
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical 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 LLC
✔

Accepts 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.

PTAN (Medicare Supplier Number)20482151
Medicare Participant SinceSeptember 22, 2015
Supplier Location2475N Monroe StDecatur, IL 62526
Phone(217) 875-5900
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
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 2

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

DR. KATLYN LANE LEE OD
Optometrist
2475 N MONROE ST
DECATUR, IL 62526
Macon County (217) 875-5900
DR. CHARLES MICHAEL MURPHY OD
Optometrist
2475 N MONROE ST
DECATUR, IL 62526
Macon County (217) 875-5900

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.

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 BlueCross BlueShield of Tennessee 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.