Complete Family Eyecare of Carbondale, PC
NPI #1518413863 in Carbondale, Illinois
Provider Information
- NPI Number
- 1518413863
- Entity Type
- Organization
- Organization Name
- Complete Family Eyecare of Carbondale, PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 28, 2016
- Last Updated
- Oct 24, 2019
Practice Location
- Address
- 1241 EAST WALNUT STREET
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901
- Phone
- (618) 942-5465
Authorized Official
- Name
- CHASE AARON RUDOLPH, OD
- Title
- PRESIDENT
- Phone
- (618) 942-5465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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