Provider Demographics
NPI:1023176872
Name:ROHRKASTE, FRITZ ALFRED (OD)
Entity type:Individual
Prefix:DR
First Name:FRITZ
Middle Name:ALFRED
Last Name:ROHRKASTE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2630 CARLISLE BLVD, NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-2802
Mailing Address - Country:US
Mailing Address - Phone:505-889-3339
Mailing Address - Fax:505-881-0351
Practice Address - Street 1:2630 CARLISLE BLVD, NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-2802
Practice Address - Country:US
Practice Address - Phone:505-889-3339
Practice Address - Fax:505-881-0351
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist