Organization Active NPI

Complete Eye Care, LLC

  • Optometrist
  • Mount Gilead, OH
National Provider Identifier
1083969430
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5651 Issued in OH
Legal business name
COMPLETE EYE CARE, LLC
Doing business as
Morrow Vision Center
Practice address
91 E Marion St
Mount Gilead, OH 43338-1434
Phone
(419) 946-6881
Fax
(419) 946-6871
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew S. Piper, O.D.NPI 1548323553
Title
Sole Member
Phone
(419) 946-6881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5651 OH Primary

Addresses

Primary practice location

91 E Marion St
Mount Gilead, OH 43338-1434

Mailing address

91 E Marion St
Mount Gilead, OH 43338-1434
Phone (419) 946-6881

Other identifiers 1

IdentifierTypeStateIssuer
0076403MedicaidOH

Other names 1

  • Morrow Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000464 OH Part B Supplier - Clinic/Group Practice 4981856945 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Gilead, OH

National Provider Directory

National Provider Directory

Locations

91 E Marion St
Mount Gilead, OH 43338
Phone (419) 946-6881

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1083969430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E MARION ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381434",
            "telephone_number": "419-946-6881",
            "fax_number": "419-946-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E MARION ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381434",
            "telephone_number": "419-946-6881",
            "fax_number": "419-946-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "419-946-6881",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrow Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.