MEDICARE: DR. FRITZ ALFRED ROHRKASTE OD

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	2397	NM

General Provider Information

NPI Number	:	1023176872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRITZ ALFRED ROHRKASTE OD

Provider Business Mailing Address
First Line	:	2630 CARLISLE BLVD, NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-2802
Country	:	US
Telephone Number	:	505-889-3339
Fax Number	:	505-881-0351

Provider Business Practice Location Address
First Line	:	2630 CARLISLE BLVD, NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-2802
Country	:	US
Telephone Number	:	505-889-3339
Fax Number	:	505-881-0351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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