Provider Demographics
NPI:1578750436
Name:ROTTGERS, ELIZABETH MEEJIN (OD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MEEJIN
Last Name:ROTTGERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5010 QUEEN PALM TER NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-6302
Mailing Address - Country:US
Mailing Address - Phone:412-592-3748
Mailing Address - Fax:412-854-5551
Practice Address - Street 1:6951 22ND AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSVBURG
Practice Address - State:FL
Practice Address - Zip Code:33710
Practice Address - Country:US
Practice Address - Phone:412-492-1374
Practice Address - Fax:412-854-5551
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001951152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist