Provider Demographics
NPI:1083821870
Name:COMPLETEEYECAREASSOCIATES
Entity Type:Organization
Organization Name:COMPLETEEYECAREASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINASSIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-598-3160
Mailing Address - Street 1:10861 CHERRY ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-5402
Mailing Address - Country:US
Mailing Address - Phone:562-598-3160
Mailing Address - Fax:562-598-4995
Practice Address - Street 1:10861 CHERRY ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-5402
Practice Address - Country:US
Practice Address - Phone:562-598-3160
Practice Address - Fax:562-598-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC37441332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier