| Sidney Roth, O.d. Inc. | |
|
384 Northeast Ave, Tallmadge, OH 44278-1443 | |
| (330) 633-9190 | |
| (330) 633-6899 |
| Full Name | Sidney Roth, O.d. Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 384 Northeast Ave, Tallmadge, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710153382 | NPI | - | NPPES |
| 0585862 | Medicaid | OH | |
| T48448 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3750 (Ohio) | Primary |
| Provider Name | Lawrence J Roth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215916887 PECOS PAC ID: 6800912650 Enrollment ID: I20100929000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney Roth, O.d. Inc. 384 Northeast Ave, Tallmadge, OH 44278-1443 Ph: (330) 633-9190 | Sidney Roth, O.d. Inc. 384 Northeast Ave, Tallmadge, OH 44278-1443 Ph: (330) 633-9190 |
Dr. David J. Dawson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 57 Metric Drive, Tallmadge, OH 44278 Phone: 330-630-2580 Fax: 234-542-1332 | |
Dr. Michelle Elizabeth Dawson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 57 Metric Drive, Tallmadge, OH 44278 Phone: 330-630-2580 Fax: 234-542-1332 | |
Dr. Lawrence Jay Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 384 Northeast Ave, Tallmadge, OH 44278 Phone: 330-633-9190 Fax: 330-633-6899 | |
Tallmadge Family Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 57 Metric Dr, Tallmadge, OH 44278 Phone: 330-630-2580 Fax: 234-542-1332 | |
Caitlin A Wise, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 518 West Ave, Tallmadge, OH 44278 Phone: 330-630-9699 Fax: 330-633-7165 | |
Dr. Joseph Pirman, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 518 West Ave, Tallmadge, OH 44278 Phone: 330-630-9699 Fax: 330-630-2173 |