Organization
COMPLETE FAMILY EYECARE OF MARION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE RUDOLPH OD (PRESIDENT)
(618) 942-5465
Entity
Organization
Contact information
Practice address
3411 OFFICE PARK DR, MARION, IL 62959-6478
(618) 997-5600
Mailing address
PO BOX 550, CARTERVILLE, IL 62918-0550
(618) 942-5465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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