Allied Vision Source, LLC
NPI 1861860363ActiveOrganization· Optometrist· Decatur, IL
Optometrist in Decatur, Illinois, registered in NPPES in September 2015. The authorized official on file is Robert W. Jones, O.D., President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1861860363 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2015 |
| Last updated in NPPES | Mar 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046.06977 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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