| Organization Name: | COMPLETE EYE CARE CENTER |
| NPI Number: | 1265658694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADAM ROSSIE (MANAGER) |
| Mailing Address: | 17001 Hawthorne Blvd Lawndale |
| State: | CA US |
| Postal Code: | 902603302 |
| Phone Number: | 3103707575 |
| Fax Number: | 3103706227 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 03621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |