Provider Demographics
NPI:1003344375
Name:ROLFES, ERIN (OD, MS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROLFES
Suffix:
Gender:F
Credentials:OD, MS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD, MS
Mailing Address - Street 1:15933 CLAYTON RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2172
Mailing Address - Country:US
Mailing Address - Phone:513-984-5133
Mailing Address - Fax:513-984-4240
Practice Address - Street 1:580 S LOOP RD
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3415
Practice Address - Country:US
Practice Address - Phone:859-331-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2073DT152W00000X
OHOPT.006579152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist