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NPI Code Detail

MEDICARE: ROTTINGHAUS EYE CARE, P.A.

MEDICARE: ROTTINGHAUS EYE CARE, P.A.
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
1152W00000XOptometrist1722KS

General Provider Information

NPI Number : 1316191059
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROTTINGHAUS EYE CARE, P.A.
Provider Business Mailing Address
First Line : 2807 ILLINOIS LN
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-2323
Country : US
Telephone Number : 785-539-0777
Fax Number : 785-537-1463
Provider Business Practice Location Address
First Line : 101 BLUEMONT AVE
Second Line : ATTN: ROTTINGHAUS EYE CARE, P.A.
City : MANHATTAN
State : KS
Zip : 66502-5093
Country : US
Telephone Number : 785-539-0777
Fax Number : 785-537-0778
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHARLES ROTTINGHAUS
Credential : O.D.
Telephone Number : 785-539-0777
Provider Enumeration Date : 11/07/2008
Last Update Date : 11/07/2008

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Directions to “ROTTINGHAUS EYE CARE, P.A. ” Practice Location

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