Organization
COMPLETE VISION CARE PLLC
Active
Parent organization
COMPLETE VISION CARE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPLETE VISION CARE, PLLC
Authorized official
JOSHUA SHANE LEONARD (OWNER/OPTOMETRIST)
(480) 371-8167
Entity
Organization
Contact information
Practice address
1100 N BROAD ST STE B, GLOBE, AZ 85501-2700
(928) 425-5203
Mailing address
501 E LEAH LN, GILBERT, AZ 85234-2437
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699847384
—
AZ
05
—
1700445731
—
AZ
Enumeration date
12/06/2024
Last updated
12/06/2024
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