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Organization

ROSENTHAL OPTOMETRIC ASSOCIATION LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY ROSENTHAL TINGE O. D. (DOCTOR)
(618) 654-9848
Entity
Organization

Contact information

Practice address
823 9TH ST, HIGHLAND, IL 62249-1521
(618) 654-9848
(618) 654-5200
Mailing address
823 9TH ST, HIGHLAND, IL 62249-1521
(618) 654-9848
(618) 654-5200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332H00000X
Eyewear Supplier
046008913
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008913
IL
Enumeration date
06/24/2006
Last updated
03/19/2026
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