NPI 1417692500

Matthew J Rotheker, OPTICIAN

Practitioner Optician Merrillville, IN

Practice location

Address: 7211 Taft St, Merrillville, IN 46410-3731
Phone: (219) 769-6367
Fax: (219) 769-7362

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1417692500
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2022
Record last updated: 3 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.