Active NPI
Complete Vision Center, P.C.
- Optometrist
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2697T
- Legal business name
- COMPLETE VISION CENTER, P.C.
- Practice address
- 840 A St
Springfield, OR 97477-4710 - Phone
- (541) 747-0616
- Fax
- (541) 747-0617
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trevor John Cleveland
- Title
- Ceo
- Phone
- (541) 747-0616
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2697T | OR | Primary |
Addresses
Primary practice location
840 A St
Springfield, OR 97477-4710
Mailing address
840 A St
Springfield, OR 97477-4710
Phone (541) 747-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208294 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Complete Vision Center | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
840 A St
Springfield, OR 97477
Phone (541) 746-8401
1717 Centennial Blvd
Ste 2
Springfield, OR 97477
Phone (541) 747-0616
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Springfield, OR
- NPI 1407812480
-
- Optometrist
- Springfield, OR
- NPI 1497080576
-
- Optometrist
- Springfield, OR
- NPI 1295933018
-
- Optometrist
- Springfield, OR
- NPI 1295738318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1508970898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 A ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774710",
"telephone_number": "541-747-0616",
"fax_number": "541-747-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 A ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774710",
"telephone_number": "541-747-0616",
"fax_number": "541-747-0617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE VISION CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "CLEVELAND",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-747-0616"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "2697T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208294",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.