Bernie V Rottach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1546 Issued in MN

Practice address

1380 Corporate Center Curv
Eagan, MN 55121-1200

Phone

(651) 756-8177

Fax

(651) 756-8168

NPI assigned

Jun 8, 2005

Last updated

Jun 15, 2026By the provider in NPPES

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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1427052323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641547",
            "telephone_number": "952-472-3937",
            "fax_number": "952-472-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CORPORATE CENTER CURV",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211200",
            "telephone_number": "651-756-8177",
            "fax_number": "651-756-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTACH",
        "first_name": "BERNIE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "200111404",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA EXAM",
            "identifier": "2201983",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA EYEWEAR",
            "identifier": "2100307",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074944300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "214140663001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF MN",
            "identifier": "144L5RO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayleen Marie Rooney, D.C.
• Victoria Guadalupe Rosas
• Kara Beth Rose
• Sagit Rosenberg, MD
• Abby Rose Roth, NP-C
• Sondra Rowley, PTA
• Alexander Joseph Rud, DMD
• Jeffrey Allen Rud, DDS
• Timothy J. Ruden, PH.D.
• Laura Marie Rudser

• Optometrist in Eagan, MN
• Providers in Eagan, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.