Organization
COMPLETE FAMILY EYECARE OF WEST FRANKFORT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE AARON RUDOLPH OD (PRESIDENT)
(618) 942-5465
Entity
Organization
Contact information
Practice address
215 N LOGAN ST STE A, WEST FRANKFORT, IL 62896-2332
(618) 942-5465
(618) 942-7042
Mailing address
PO BOX 550, CARTERVILLE, IL 62918-0550
(618) 942-5465
(618) 942-7042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
02/08/2022
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