Roth Eye Care P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008029 Issued in IL

Legal business name

ROTH EYE CARE P.C.

Practice address

6857 S Pulaski Rd
Chicago, IL 60629-4151

Phone

(773) 767-5000

Fax

(773) 767-5176

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Gerard Roth, O.D.NPI 1013071075

Title

President

Phone

(773) 767-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie A Roth Crain, OD

  • Optometrist
  • Chicago, IL
  • NPI 1821735218
  Medicare reassignment NPD
• James Gerard Roth, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1013071075
  Authorized official Same address or phone

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1669623419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294151",
            "telephone_number": "773-767-5000",
            "fax_number": "773-767-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294151",
            "telephone_number": "773-767-5000",
            "fax_number": "773-767-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-767-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Jean Rote
• Lee Rotem
• Mitchell Rotenberg
• J'Anna Michelle Rotert
• Natalie A Roth Crain, OD
• Abbie H Roth, MD
• Andrew G Roth, M.D
• Ann Roth, L.AC.
• Baylie Zheutlin Roth, LSW
• Bridget Kathleen Roth

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.