Provider Demographics
NPI:1114969706
Name:COMPLETE EYE CARE, OD PA
Entity Type:Organization
Organization Name:COMPLETE EYE CARE, OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-825-9002
Mailing Address - Street 1:1200 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3370
Mailing Address - Country:US
Mailing Address - Phone:704-825-9002
Mailing Address - Fax:704-825-5440
Practice Address - Street 1:1200 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3370
Practice Address - Country:US
Practice Address - Phone:704-825-9002
Practice Address - Fax:704-825-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC410031058OtherRAILROAD MEDICARE
NC7901606Medicaid
NC410031058OtherRAILROAD MEDICARE
NC2323723Medicare ID - Type Unspecified