MEDICARE: COMPLETE EYE CARE PLLC

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	152W00000X	Optometrist	998OD	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	U88109	OTHER	WV	DR UPIN

General Provider Information

NPI Number	:	1730265562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE EYE CARE PLLC

Provider Business Mailing Address
First Line	:	25 W BLUEMONT ST
Second Line	:
City	:	GRAFTON
State	:	WV
Zip	:	26354-1242
Country	:	US
Telephone Number	:	304-265-0312
Fax Number	:	304-265-0314

Provider Business Practice Location Address
First Line	:	216 LINCOLN ST
Second Line	:
City	:	GRAFTON
State	:	WV
Zip	:	26354-1442
Country	:	US
Telephone Number	:	304-265-1851
Fax Number	:	304-265-0028

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHERRY L KNOTTS
Credential	:	O.D.
Telephone Number	:	304-265-1851

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	03/19/2026

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Directions to “COMPLETE EYE CARE PLLC ” Practice Location

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