Michael John Rotheker in South Bend - Optometrist
Michael John Rotheker - NPI 1316935208
Michael John Rotheker is a Optometrist in South Bend, Indiana. Michael John Rotheker practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael John Rotheker is 1316935208. The last update date is 2018-08-14.
Michael John Rotheker's current location address is 4121 S. Michigan Street, South Bend, Indiana. You can contact this provider via phone number 5742919200 and fax number 5742994423. The mailing address for Michael John Rotheker is 4121 S. Michigan Street, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Rotheker |
|---|---|
| Address | 4121 S. Michigan Street, South Bend, Indiana |
| Phone Number | 5742919200 |
| Fax Number | 5742994423 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1316935208 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2018-08-14 |
Provider Mailing Address Detail
| Address | 4121 S. Michigan Street |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466142545 |
| Phone Number | 5742919200 |
| Fax Number | 5742994423 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18003124A |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 215766 | IN | ANTHEM MC/BS | |
| 200335390A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael John Rotheker by the Centers for Medicare & Medicaid Services?
The Michael John Rotheker has been issued the NPI (National Provider Identifier) 1316935208 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael John Rotheker?
The Michael John Rotheker is physically situated at 4121 S. Michigan Street, in the city of South Bend, state of IN, with the postal code 466142545.
What is Michael John Rotheker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael John Rotheker is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did the Michael John Rotheker receive its 1316935208?
The Michael John Rotheker was issued its 1316935208 on 2005-10-13, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michael John Rotheker most recently updated or revised?
The details related to Michael John Rotheker, including its address, specialty, and other relevant information, were last updated or revised on 2018-08-14.