Individual provider Active NPI

Eileen Rohrlick, OD

  • Optometrist
  • Landisville, PA
National Provider Identifier
1124213533
Registry record updated Sep 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET009041 Issued in PA
Practice address
1028 Spoon Ave
Landisville, PA 17538-1606
Phone
(717) 669-8745
NPI assigned
Sep 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET009041 PA Primary

Addresses

Primary practice location

1028 Spoon Ave
Landisville, PA 17538-1606

Mailing address

1028 Spoon Ave
Landisville, PA 17538-1606
Phone (717) 669-8745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OET009041PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1124213533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 SPOON AVE",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381606",
            "telephone_number": "717-669-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 SPOON AVE",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381606",
            "telephone_number": "717-669-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRLICK",
        "first_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landisville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.