Roth Vision Care, Doctor of Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006532 Issued in NY

Legal business name

ROTH VISION CARE, DOCTOR OF OPTOMETRY, PLLC

Practice address

725 Erie Blvd W
Syracuse, NY 13204-2229

Phone

(315) 475-2778

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Michael Roth, O.D.NPI 1437196631

Title

Manager/Optometrist

Phone

(315) 475-2778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey M Roth, OD

  • Optometrist
  • Syracuse, NY
  • NPI 1437196631
  Medicare reassignment NPD Authorized official
• Michael Stuart Roth, O.D.

  • Optometrist
  • Rancho Mirage, CA
  • NPI 1912954827
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1568657443",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH VISION CARE, DOCTOR OF OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER/OPTOMETRIST",
        "authorized_official_telephone_number": "315-475-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parifar Rostami, M.D.
• Kathleen Roszyk
• Beth Parsons Rotella, OTR
• Kelly Rotella, MST
• Mackenzie Renee Rotella, NP-C
• James Roth, CRNA
• Jeffrey M Roth, OD
• Carol Harris Rothschild, M.S. LMHC LMFT
• Lisa Rothwell, PT
• Gracia Lynnette Roulan, MSN, FNP

• 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 Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.