Dr. Michael John Rotheker is a South Bend, Indiana based male Optometrist with 23 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael John Rotheker is 18003124A for Optometry in Indiana.
Dr. Michael John Rotheker examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Michael John Rotheker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Experience: | 23+ years |
| Medical School Attended: | Illinois College Of Optometry At Chicago |
| Graduation Year: | 2001 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 17615 State Road 23, South Bend,
Indiana, 46635 |
| Phone: | 574-234-7600 |
| Fax: | 574-234-8408 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2860584125 |
| Enrollment ID: | I20070816000695 |
| NPI Number: | 1316935208 |
| NPI Enumeration Date: | 13 Oct, 2005 |
| NPI Last Update On: | 14 Aug, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael John Rotheker are as mentioned below.
| License Number | Specialization | State | Status | |
| 18003124A | Optometry | Indiana | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Michael John Rotheker has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Midwest Eye Consultants Pc (2961399217) | 67 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael John Rotheker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000215766 | Other | Indiana | ANTHEM MC/BS |
| 200335390A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4121 S. Michigan Street,
South Bend, Indiana |
| Zip: | 46614-2545 |
| Phone Number: | 574-291-9200 |
| Fax Number: | 574-299-4423 |
Patients can reach Dr. Michael John Rotheker at
17615 State Road 23, South Bend, Indiana or can
call to book an appointment on 574-234-7600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.