Individual
DR. ROBERT ROTTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2946 HIGHWAY K, O FALLON, MO 63366-7861
(636) 240-1516
(636) 272-1323
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046008288
IL
152W00000X
Optometrist
Primary
T02819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314901703
—
MO
01
—
410047667
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
11/18/2014
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