Jeffrey M Roth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

006532 Issued in NY

Practice address

725 Erie Blvd W
Syracuse, NY 13204-2229

Phone

(315) 475-2778

Fax

(315) 471-3522

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leslie D. Woodcock, Jr., M.D., PLLCGroup PAC ID 6901994110, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://rothvision.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leslie D. Woodcock, Jr., M.D., PLLC

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1346455508
  Medicare reassignment Care Compare group NPD
• Roth Vision Care, Doctor of Optometry, PLLC

  • Optometrist
  • Syracuse, NY
  • NPI 1568657443
  Medicare reassignment NPD Authorized official
• Central New York Eye Center

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1386709434
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)
• Ophthalmic Consultants of Connecticut PC

  • Ophthalmology Physician
  • Fairfield, CT
  • NPI 1659319598

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1437196631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ERIE BLVD W",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042229",
            "telephone_number": "315-475-2778",
            "fax_number": "315-471-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ERIE BLVD W",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042229",
            "telephone_number": "315-475-2778",
            "fax_number": "315-471-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002684",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Parsons Rotella, OTR
• Kelly Rotella, MST
• Mackenzie Renee Rotella, NP-C
• Roth Vision Care, Doctor of Optometry, PLLC
• James Roth, CRNA
• Carol Harris Rothschild, M.S. LMHC LMFT
• Lisa Rothwell, PT
• Gracia Lynnette Roulan, MSN, FNP
• Loraine G Rowand, LPN
• Anita Rowe, RN

• Optometrist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.