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NPI · 1104131168 · NPPES-sourced

Complete Family Eyecare, PC

ActiveOptometrist
NPI Number
1104131168
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(618) 942-5465
License IL · 046.010332
Last Updated
Enumerated
Primary practice addressIL · 62948-3785
3121 S Park AveHerrin, IL 62948-3785
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About this NPIWhat this record shows.

NPI 1104131168 is registered to Complete Family Eyecare, PC, a healthcare organisation classified as "Optometrist" and located at 3121 S Park Ave in Herrin, Illinois. The organisation's authorised official is Chase Rudolph. The organisation has been enumerated in the NPI registry since 2010.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Complete Family Eyecare, PC accepts. To confirm in-network status with your specific health plan, contact Complete Family Eyecare, PC directly at (618) 942-5465.

Frequently asked

Yes. NPI 1104131168 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (618) 942-5465.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Complete Family Eyecare, PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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Same specialtyOther Optometrist providers in Illinois.

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