Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2073DT | KY |
N | 152W00000X | Optometrist | 6579 | OH |
NPI | 1003344375 |
---|---|
Provider Name | Erin Rolfes |
First Address | Blue Ash, OH 45242-5664 |
Second Address | Edgewood, KY 41017-3415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2017 |
Last Update Date | 17/03/2018 |