Complete Family Eyecare of Carbondale, PC
NPI 1518413863ActiveOrganization· Optometrist· Carbondale, IL
Optometrist in Carbondale, Illinois, registered in NPPES in August 2016. The authorized official on file is Chase Aaron Rudolph, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518413863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2016 |
| Last updated in NPPES | Oct 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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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