Provider Demographics
NPI:1154997773
Name:COMPLETE PRIMARY EYECARE, LLC
Entity type:Organization
Organization Name:COMPLETE PRIMARY EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-534-2421
Mailing Address - Street 1:30 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-1653
Mailing Address - Country:US
Mailing Address - Phone:330-534-2421
Mailing Address - Fax:330-534-1960
Practice Address - Street 1:30 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1653
Practice Address - Country:US
Practice Address - Phone:330-534-2421
Practice Address - Fax:330-534-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty