Provider Demographics
NPI:1124213533
Name:ROHRLICK, EILEEN (OD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:
Last Name:ROHRLICK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 SPOON AVE
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1606
Mailing Address - Country:US
Mailing Address - Phone:717-669-8745
Mailing Address - Fax:
Practice Address - Street 1:1028 SPOON AVE
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1606
Practice Address - Country:US
Practice Address - Phone:717-669-8745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-09
Last Update Date:2007-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET009041152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist