Provider Demographics
NPI:1316191059
Name:ROTTINGHAUS EYE CARE, P.A.
Entity Type:Organization
Organization Name:ROTTINGHAUS EYE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTTINGHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-539-0777
Mailing Address - Street 1:2807 ILLINOIS LN
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2323
Mailing Address - Country:US
Mailing Address - Phone:785-539-0777
Mailing Address - Fax:785-537-1463
Practice Address - Street 1:101 BLUEMONT AVE
Practice Address - Street 2:ATTN: ROTTINGHAUS EYE CARE, P.A.
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5093
Practice Address - Country:US
Practice Address - Phone:785-539-0777
Practice Address - Fax:785-537-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1722152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty