Individual
DR. RYAN SETH ROTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7900 SHELBYVILLE RD STE A15, LOUISVILLE, KY 40222
(502) 327-8568
Mailing address
7900 SHELBYVILLE RD STE A15, LOUISVILLE, KY 40222-5463
(502) 327-8568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2133DT
KY
152WC0802X
Corneal and Contact Management Optometrist
2133DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100622220
—
KY
Enumeration date
06/26/2014
Last updated
11/14/2021
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