MEDICARE: ROSENTHAL OPTOMETRIC ASSOCIATION LTD

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	332H00000X	Eyewear Supplier	046008913	IL
2	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386670099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSENTHAL OPTOMETRIC ASSOCIATION LTD

Provider Business Mailing Address
First Line	:	823 9TH ST
Second Line	:
City	:	HIGHLAND
State	:	IL
Zip	:	62249-1521
Country	:	US
Telephone Number	:	618-654-9848
Fax Number	:	618-654-5200

Provider Business Practice Location Address
First Line	:	823 9TH ST
Second Line	:
City	:	HIGHLAND
State	:	IL
Zip	:	62249-1521
Country	:	US
Telephone Number	:	618-654-9848
Fax Number	:	618-654-5200

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. KIMBERLY ROSENTHAL TINGE
Credential	:	O. D.
Telephone Number	:	618-654-9848

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	03/19/2026

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Directions to “ROSENTHAL OPTOMETRIC ASSOCIATION LTD ” Practice Location

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