Complete Family Eyecare of Marion, PC
NPI 1619621398ActiveOrganization· Optometrist· Marion, IL
Optometrist in Marion, Illinois, registered in NPPES in February 2022. The authorized official on file is Chase Rudolph, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619621398 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2022 |
| Last updated in NPPES | Feb 10, 2022 |
| Certified by provider | Feb 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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