Organization
COMPLETE VISION CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR JOHN CLEVELAND O.D. (OPTOMETRIST)
(541) 747-0616
Entity
Organization
Contact information
Practice address
1717 CENTENNIAL BLVD, SUITE 2, SPRINGFIELD, OR 97477-3378
(541) 747-0616
(541) 747-0617
Mailing address
1717 CENTENNIAL BLVD, SUITE 2, SPRINGFIELD, OR 97477-3378
(541) 747-0616
(541) 747-0617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2697T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208294
—
OR
01
—
3011
LIPA
OR
Enumeration date
08/17/2006
Last updated
11/14/2007
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