Dr Michael John Rotheker, OD | |
17615 State Road 23, South Bend, IN 46635 | |
(574) 234-7600 | |
(574) 234-8408 |
Full Name | Dr Michael John Rotheker |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 23 Years |
Location | 17615 State Road 23, South Bend, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316935208 | NPI | - | NPPES |
000000215766 | Other | IN | ANTHEM MC/BS |
200335390A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003124A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boling Vision Center, Llc | 6103921556 | 10 |
Provider Name | Midwest Eye Consultants Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912960535 PECOS PAC ID: 2961399217 Enrollment ID: O20040302000158 |
Provider Name | Boling Vision Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003851445 PECOS PAC ID: 6103921556 Enrollment ID: O20070413000459 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael John Rotheker, OD 4121 S. Michigan Street, South Bend, IN 46614-2545 Ph: (574) 291-9200 | Dr Michael John Rotheker, OD 17615 State Road 23, South Bend, IN 46635 Ph: (574) 234-7600 |
Naing Eye Care & Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2054 E Ireland Rd, South Bend, IN 46614 Phone: 574-401-8142 Fax: 574-401-8143 | |
Christopher J. Wolf, Od, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4123 S Michigan St, South Bend, IN 46614 Phone: 574-291-8900 Fax: 574-299-8503 | |
Michiana Eye Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 319 N Niles Ave # 100, South Bend, IN 46617 Phone: 574-282-2020 Fax: 574-288-2020 | |
Daniel O. Elliott Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 N Ironwood Dr, South Bend, IN 46615 Phone: 574-233-3617 Fax: 574-280-7355 | |
Dr. Ronald Milovich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2004 Edison Rd, Suite A, South Bend, IN 46617 Phone: 574-288-2400 Fax: 574-288-7132 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 315 W Ireland Rd # 103, South Bend, IN 46614 Phone: 574-291-9200 Fax: 574-291-9859 | |
Dr. Brian Andrew Faust, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 N Ironwood Dr, South Bend, IN 46615 Phone: 574-289-3937 Fax: 574-280-7355 |