| Dr Michael Stuart Roth, OD | |
|
72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | |
| (760) 340-3937 | |
| (760) 340-1940 |
| Full Name | Dr Michael Stuart Roth |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 72057 Dinah Shore Dr, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912954827 | NPI | - | NPPES |
| OVS09 | Other | NY | BCBS |
| 0250890001 | Other | NY | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SOL6058 (California) | Primary |
| Provider Name | Kopolow & Girisgen Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518904622 PECOS PAC ID: 7618982596 Enrollment ID: O20060214000361 |
| Provider Name | Girisgen & Kopolow Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427382415 PECOS PAC ID: 6507993854 Enrollment ID: O20100419000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Stuart Roth, OD 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 Ph: (760) 340-3937 | Dr Michael Stuart Roth, OD 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 Ph: (760) 340-3937 |
Winston H Alwes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270 Phone: 760-340-3937 Fax: 760-340-1940 | |
Karine Shaghoyan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270 Phone: 760-340-3937 Fax: 760-340-1940 | |
Dr. Burton Charles Blaurock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 42452 Bob Hope Dr, Suite 1, Rancho Mirage, CA 92270 Phone: 760-340-4524 Fax: 760-340-4796 | |
Evans Optometry Clinic Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 71956 Magnesia Falls Dr, Rancho Mirage, CA 92270 Phone: 760-674-8806 Fax: 760-674-8826 | |
Rancho Mirage Optometric Family Eyecare, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 71703 Highway 111 Ste 2a, Rancho Mirage, CA 92270 Phone: 760-340-5292 | |
Milauskas Eye Institute Medical Group Ii Inc Optometrist Medicare: Medicare Enrolled Practice Location: 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270 Phone: 760-340-3937 Fax: 760-340-1940 | |
Paul Yoh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270 Phone: 760-340-3937 Fax: 760-340-1940 |