Organization
COMPLETE FAMILY EYECARE OF CARBONDALE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE AARON RUDOLPH OD (PRESIDENT)
(618) 942-5465
Entity
Organization
Contact information
Practice address
1241 EAST WALNUT STREET, CARBONDALE, IL 62901
(618) 942-5465
(618) 942-7042
Mailing address
1241 EAST WALNUT STREET, CARBONDALE, IL 62901
(618) 942-5465
(618) 942-7042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
10/24/2019
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