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COMPLETE FAMILY EYECARE, PC
NPI 1104131168
Optometrist in Herrin, IL

Active since August 15, 2010
3121 S PARK AVE, HERRIN, IL 62948(618) 942-5465(618) 942-7042 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Complete Family Eyecare, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE FAMILY EYECARE, PC (NPI 1104131168) is a healthcare organization registered as an optometrist in Herrin, Illinois and active in the NPI registry since August 2010. The organization lists Chase A Rudolph, President, as its authorized official.

NPPES Registry Identity

NPI1104131168
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOMPLETE FAMILY EYECARE, PC
Location Address3121 S PARK AVEHerrin, IL 62948-3785
Mailing Address2813 S Park AveHerrin, IL 62948-3700 · (618) 942-5465 · Fax (618) 942-7042
Phone(618) 942-5465
Fax(618) 942-7042
Organization SubpartNo
Authorized OfficialChase A RudolphPresident · (618) 942-5465
Enumeration DateAugust 15, 2010
Last NPPES UpdateJuly 25, 2019
✔ NPI 1104131168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.010332
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3121 S PARK AVE, Herrin, IL 62948
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Complete Family Eyecare, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Complete Family Eyecare, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Andrew Dust, OD
Optometry
NPI 1790523488
3121 S PARK AVE
Herrin, IL 62948
(618) 942-5465
✔ PECOS✔ Accepts MedicareSame address
Chase Rudolph, O.D.
Optometry
NPI 1457663809
3121 S PARK AVE
Herrin, IL 62948
(618) 942-5465
✔ PECOS✔ Accepts MedicareSame address
Madyson Locke, OD
Optometry
NPI 1639854359
3411 OFFICE PARK DR
Marion, IL 62959
(618) 203-9162
✔ PECOS✔ Accepts Medicare2.3 mi
Lexie Peper, OD
Optometry
NPI 1346975620
1241 E WALNUT ST
Carbondale, IL 62901
(618) 529-3452
✔ PECOS✔ Accepts Medicare9.4 mi
Teresa Myers, O.D.
Optometry
NPI 1225197148
202 E CLARK ST
West Frankfort, IL 62896
(618) 937-3126
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complete Family Eyecare, PC's NPI number?

The NPI number for Complete Family Eyecare, PC is 1104131168. It was assigned to this organization in the NPPES registry on August 15, 2010.

Where is Complete Family Eyecare, PC located?

Complete Family Eyecare, PC is located at 3121 S Park Ave, Herrin, IL 62948. The listed phone number is (618) 942-5465.

What is Complete Family Eyecare, PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Complete Family Eyecare, PC enrolled in Medicare?

Yes. Complete Family Eyecare, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complete Family Eyecare, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Complete Family Eyecare, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Complete Family Eyecare, PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Complete Family Eyecare, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Complete Family Eyecare, PC was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.