Organization Active NPI

Complete Vision Care PLLC

  • Optometrist
  • Apache Junction, AZ
National Provider Identifier
1235823394
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COMPLETE VISION CARE PLLC
Practice address
1996 E 38TH Ave
Apache Junction, AZ 85119-3780
Phone
(419) 953-1139
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Joshua Leonard, ODNPI 1700445731
Title
Optometrist
Phone
(419) 953-1139

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 Primary

Addresses

Primary practice location

1996 E 38TH Ave
Apache Junction, AZ 85119-3780

Mailing address

1996 E 38TH Ave
Apache Junction, AZ 85119-3780

Other names 1

  • Complete Vision Care Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926003786 AZ Part B Supplier - Clinic/Group Practice 9931553831 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ; Globe, AZ

National Provider Directory

National Provider Directory
Tax ID family
Complete Vision Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 E Southern Ave
Ste 3
Phoenix, AZ 85040
Phone (480) 371-8167

4022 E Broadway Rd
Ste 104
Phoenix, AZ 85040
Phone (480) 371-8167

220 E Southern Ave
Phoenix, AZ 85040

220 E Southern Ave
Ste C3
Phoenix, AZ 85040

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1235823394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 E 38TH AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851193780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 E 38TH AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851193780",
            "telephone_number": "419-953-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-953-1139",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Vision Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Complete Vision Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.