Matthew J Rotheker, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

7211 Taft St
Merrillville, IN 46410-3731

Phone

(219) 769-6367

Fax

(219) 769-7362

NPI assigned

May 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Longe Optical

  • Durable Medical Equipment & Medical Supplies
  • Merrillville, IN
  • NPI 1013168038
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1417692500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103731",
            "telephone_number": "219-769-6367",
            "fax_number": "219-769-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103731",
            "telephone_number": "219-769-6367",
            "fax_number": "219-769-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9521 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222639",
            "country_code": "US",
            "telephone_number": "219-924-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHEKER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Rosas, PA
• Kathryn Margaret Rosenbaum, LMHC
• Ross Hearing Center, LLC
• Brandi Kathryn Ross-Douglas, MD
• Jody Ross
• Olyvia Roytan
• RP Wellness Center MD Inc
• Margaret Rubio, BS
• Kimberly Ann Ruch, NP-C
• Emilie Ruckle, RBT

• Optician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Optician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.