Allied Vision Source, LLC
NPI 1861860363 · Optometrist · Decatur, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Allied Vision Source, LLC is a Optometrist organization in Decatur, IL (NPI 1861860363).
Provider details
- NPI number
- 1861860363
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Robert Jones, President(217) 663-0118
- License
- 046.06977 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1410 E Village PkwyMt Zion, IL 62549-1253Phone: (217) 615-2510Fax: (217) 402-7544
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2019-03-25
Frequently asked questions
- What is Allied Vision Source, LLC's NPI number?
- Allied Vision Source, LLC's National Provider Identifier (NPI) is 1861860363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Allied Vision Source, LLC?
- Allied Vision Source, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Allied Vision Source, LLC located?
- Allied Vision Source, LLC's practice location on file with NPPES is 2475 N Monroe St, Decatur, IL 62526-3941.
- What is Allied Vision Source, LLC's phone number?
- The practice phone number listed in the NPPES registry for Allied Vision Source, LLC is (217) 663-0118.
- Does Allied Vision Source, LLC accept Medicare?
- Allied Vision Source, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Allied Vision Source, LLC?
- The authorized official listed on Allied Vision Source, LLC's NPPES record is Robert Jones, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Allied Vision Source, LLC's NPI active?
- Yes — Allied Vision Source, LLC's NPI (1861860363) is active in the NPPES registry as of the last update on 2019-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.