| Complete Vision Center, P.c. | |
|
1717 Centennial Blvd, Suite 2, Springfield, OR 97477-3378 | |
| (541) 747-0616 | |
| (541) 747-0617 |
| Full Name | Complete Vision Center, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1717 Centennial Blvd, Springfield, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970898 | NPI | - | NPPES |
| 3011 | Other | OR | LIPA |
| 208294 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2697T (Oregon) | Primary |
| Provider Name | Trevor J Cleveland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407812480 PECOS PAC ID: 4587616198 Enrollment ID: I20050214000238 |
| Provider Name | Nicole S Crossland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295933018 PECOS PAC ID: 7113019670 Enrollment ID: I20070828001068 |
| Provider Name | Bethany Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497080576 PECOS PAC ID: 5597910885 Enrollment ID: I20130313000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Vision Center, P.c. 1717 Centennial Blvd, Suite 2, Springfield, OR 97477-3378 Ph: (541) 747-0616 | Complete Vision Center, P.c. 1717 Centennial Blvd, Suite 2, Springfield, OR 97477-3378 Ph: (541) 747-0616 |
Dr. Nicholas John Hedberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5709 Main St, Springfield, OR 97478 Phone: 541-726-6822 Fax: 541-229-8723 | |
Pam Ebert, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1871 2nd St, Springfield, OR 97477 Phone: 541-741-0122 Fax: 541-988-3401 | |
Custom Eyes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1871 2nd St, Springfield, OR 97477 Phone: 541-741-0122 | |
Dr. Theresa A Park, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3030 Gateway Street, Sears Optical, Springfield, OR 97477 Phone: 541-741-7049 Fax: 541-744-2847 | |
Oregon Family Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2659 Olympic St, Springfield, OR 97477 Phone: 541-744-3004 | |
Dr. Ben E. Coutant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2659 Olympic St, Springfield, OR 97477 Phone: 541-744-6973 | |
Dr. William Dunn, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5725 Main St, Springfield, OR 97478 Phone: 541-726-6822 Fax: 541-726-7768 |