MEDICARE: COMPLETE EYECARE WEST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1861457863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE EYECARE WEST INC

Provider Business Mailing Address
First Line	:	5141 W BROAD ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1992
Country	:	US
Telephone Number	:	614-878-1571
Fax Number	:	614-878-0490

Provider Business Practice Location Address
First Line	:	5141 W BROAD ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1992
Country	:	US
Telephone Number	:	614-878-1571
Fax Number	:	614-878-0490

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	TERESA GUYER
Credential	:
Telephone Number	:	614-878-1571

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	01/25/2024

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Directions to “COMPLETE EYECARE WEST INC ” Practice Location

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