Rottler, Robert
Rottler, Robert is an individual health care provider with primary practice located at 2946 Highway K , O Fallon MO 63366-7861. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rottler, Robert can be contacted via phone (636) 240-1516.Contact Information
Primary practice address
2946 Highway K
O Fallon MO 63366-7861
Phone: (636) 240-1516
Fax: (636) 272-1323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02819 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008288 | Illinois |
Profile Details
| NPI number | 1376549378 |
|---|---|
| LBN Legal business name | Rottler, Robert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Nov 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376549378 | NPPES |
| Missouri | Other | 410047667 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 314901703 | RAILROAD MEDICARE |
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