Complete Family Eyecare, PC

NPI #1104131168 in Herrin, Illinois

Provider Information

NPI Number: 1104131168
Entity Type: Organization
Organization Name: Complete Family Eyecare, PC
Primary Specialty: Optometrist
Enumeration Date: Aug 15, 2010
Last Updated: Jul 25, 2019

Practice Location

Address: 3121 S PARK AVE
City: Herrin
State: Illinois
ZIP Code: 62948-3785
Phone: (618) 942-5465

Authorized Official

Name: DR. CHASE A RUDOLPH, O.D.
Title: PRESIDENT
Phone: (618) 942-5465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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