Provider Demographics
NPI:1619272333
Name:COMPLETE EYE CARE, PLLC
Entity Type:Organization
Organization Name:COMPLETE EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-488-7007
Mailing Address - Street 1:34597 N 60TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-5240
Mailing Address - Country:US
Mailing Address - Phone:480-488-7007
Mailing Address - Fax:480-488-8672
Practice Address - Street 1:34597 N 60TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-5240
Practice Address - Country:US
Practice Address - Phone:480-488-7007
Practice Address - Fax:480-488-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1756152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ143362Medicare PIN