| 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  | |
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  | |
Dr. Winona J. Firth, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 840 A St, Springfield, OR 97477 Phone: 541-746-8401 Fax: 541-746-8402  |