| Allied Vision Source, Llc | |
|
2475 N Monroe St, Decatur, IL 62526-3941 | |
| (217) 663-0118 | |
| Not Available |
| Full Name | Allied Vision Source, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2475 N Monroe St, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861860363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.06977 (Illinois) | Primary |
| Provider Name | Tina M Funk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730293770 PECOS PAC ID: 8022071711 Enrollment ID: I20041104000145 |
| Provider Name | Jeffrey Bowman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083682785 PECOS PAC ID: 1951329747 Enrollment ID: I20051118000392 |
| Provider Name | Dennis M Brtva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215909056 PECOS PAC ID: 1951365451 Enrollment ID: I20080325000329 |
| Provider Name | Robert W Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588728257 PECOS PAC ID: 4284712076 Enrollment ID: I20080505000075 |
| Provider Name | Timothy D Busey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336284736 PECOS PAC ID: 9931265550 Enrollment ID: I20090306000181 |
| Provider Name | Amanda Kay Gerson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417514134 PECOS PAC ID: 9537493424 Enrollment ID: I20190626002995 |
| Provider Name | Katlyn L Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114445145 PECOS PAC ID: 5597030445 Enrollment ID: I20260211000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Vision Source, Llc 2475 N Monroe St, Decatur, IL 62526-3941 Ph: (217) 663-0118 | Allied Vision Source, Llc 2475 N Monroe St, Decatur, IL 62526-3941 Ph: (217) 663-0118 |
Mid-state Eye Partners Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2442 N Route 121, Decatur, IL 62526 Phone: 217-233-3101 |
Dr. Jonathan R Bradley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4837 E Rt 36, Central Illinois Vision Center, Decatur, IL 62521 Phone: 217-864-1362 Fax: 217-864-1363 |
Dr. Michael F. Stauder, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2980 N Main St, Suite 1, Decatur, IL 62526 Phone: 217-872-7200 Fax: 217-872-0920 |
Decatur Eyecare Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1270 S Jasper St, Decatur, IL 62521 Phone: 217-422-8032 |
Dr. Yolanda Arce-montijo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 331 W 1st Dr, Decatur, IL 62521 Phone: 217-422-3881 |
Dr James E Davis Jr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3411 N Woodford St, Decatur, IL 62526 Phone: 217-877-0312 Fax: 217-877-0397 |
Dr. Katlyn Lane Lee, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2475 N Monroe St, Decatur, IL 62526 Phone: 217-875-5900 Fax: 217-875-5600 |