Provider Demographics
NPI:1083969430
Name:COMPLETE EYE CARE, LLC
Entity Type:Organization
Organization Name:COMPLETE EYE CARE, LLC
Other - Org Name:MORROW VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:S
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-946-6881
Mailing Address - Street 1:91 E MARION ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT GILEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43338-1434
Mailing Address - Country:US
Mailing Address - Phone:419-946-6881
Mailing Address - Fax:419-946-6871
Practice Address - Street 1:91 E MARION ST
Practice Address - Street 2:
Practice Address - City:MOUNT GILEAD
Practice Address - State:OH
Practice Address - Zip Code:43338-1434
Practice Address - Country:US
Practice Address - Phone:419-946-6881
Practice Address - Fax:419-946-6871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5651152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0076403Medicaid
OHH143380Medicare PIN