OrganizationActive
Complete Family Eyecare, PC
NPI 1104131168 · Optometrist · Herrin, IL
Provider details
- NPI number
- 1104131168
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Chase Rudolph, President(618) 942-5465
- License
- 046.010332 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3121 S Park Ave
Herrin, IL 62948-3785
Phone: (618) 942-5465
Fax: (618) 942-7042
Approximate (ZIP-level) locationGet directions
Mailing address
2813 S Park Ave
Herrin, IL 62948-3700
Registry dates
- Enumerated
- 2010-08-15
- Last updated
- 2019-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.