Individual provider Active NPI

Charles Christian Rottner, OD

  • Optometrist
  • Niagara Falls, NY
National Provider Identifier
1053200808
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011189 Issued in NY
Practice address
6500 Porter Rd Ste 2020
Niagara Falls, NY 14304-1529
Phone
(716) 282-1114
NPI assigned
Jun 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011189 NY Primary

Addresses

Primary practice location

6500 Porter Rd Ste 2020
Niagara Falls, NY 14304-1529

Mailing address

8421 Hidden Oaks Dr
East Amherst, NY 14051-2020
Phone (716) 908-9058

Other practice location 1

2825 Niagara Falls Blvd Ste 130
Amherst, NY 14228-2021
Phone (716) 564-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822001995 NY Practitioner - Optometry 3173023223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fichte-Endl and Elmer Eye Surgery PCGroup PAC ID 0446228597, 11 clinicians

Practice addresses (Care Compare)

2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2021
Phone (716) 564-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011189NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fichte-Endl & Elmer Eye Surgery, PC Optometrist CurrentSince Jul 9, 2025 Accepting new patients
Fichte, Endl & Elmer Eye Surgery PC CurrentSince Jul 9, 2025 Accepting new patients

Locations

2825 Niagara Falls Blvd
Ste 130
Buffalo, NY 14228
Phone (716) 564-2020

6500 Porter Rd
#2020
Niagara Falls, NY 14304
Phone (716) 282-1114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1053200808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 HIDDEN OAKS DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512020",
            "telephone_number": "716-908-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 PORTER RD STE 2020",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041529",
            "telephone_number": "716-282-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Niagara Falls Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282021",
            "country_code": "US",
            "telephone_number": "716-564-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTTNER",
        "first_name": "CHARLES",
        "middle_name": "CHRISTIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.