IndividualActive
Matthew Rotheker, OPTICIAN
NPI 1417692500 · Optician · Merrillville, IN
Provider details
- NPI number
- 1417692500
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
7211 Taft St
Merrillville, IN 46410-3731
Phone: (219) 769-6367
Fax: (219) 769-7362
Approximate (ZIP-level) locationGet directions
Mailing address
7211 Taft St
Merrillville, IN 46410-3731
Additional practice locations (1)
- 9521 Indianapolis BlvdHighland, IN 46322-2639Phone: (219) 924-6281
Registry dates
- Enumerated
- 2022-05-03
- Last updated
- 2022-05-03
- Certified
- 2022-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.