Complete Family Eyecare, PC
NPI 1104131168ActiveOrganization· Optometrist· Herrin, IL
Optometrist in Herrin, Illinois, registered in NPPES in August 2010. The authorized official on file is Chase A. Rudolph, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104131168 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2010 |
| Last updated in NPPES | Jul 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046.010332 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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