Elliot R Roth, O.D.
Individual provider Active NPI Optometrist · N Bellmore, NY
NPI 1679623938 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1679623938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T005485 (NY)
- Practice address
- 1810 N Jerusalem Rd
N Bellmore, NY 11710-1108 - Phone
- (516) 214-6815
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14623 Bonaire Blvd
Apt 506
Delray Beach, FL 33446-1722
5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040709001303 | NY | Practitioner - Optometry | 8426047135 |
Reassigns benefits to 3 organizations Practice locations: North Bellmore, NY |
| I20251007003188 | MN | Practitioner - Optometry | 8426047135 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3967 | MN | MD | Chiropractor |
| OPC6924 | FL | MD | Optometrist |
| T005485 | NY | MD | Optometrist |
| OPT.007454 | OH | MD | Optometrist |
| 005485 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| Empire Vision Center, Inc | Current |
Accepting new patients | |
| Visionworks, Inc | Current |
Accepting new patients | |
| Framebar Co LLC | Optometrist | Current |
Accepting new patients |
| Ejmvkk Associates Inc | Optometrist | Current |
Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current |
Accepting new patients |
| Sap Optical | Optometrist | Past |
Accepting new patients |
| JG Vision Associates,Inc | Past |
Accepting new patients | |
| Family Residences and Essential Enterprises, Inc. | Past | Accepting new patients | |
| Allerton Eye Care LLC | Optometrist | Past |
Accepting new patients |
Locations
1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011
640 Apache Mall
Rochester, MN 55902
Phone (507) 252-1540
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
2894 Long Beach Rd
Oceanside, NY 11572
Phone (516) 888-1038
10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.007454 | OH | |
| Optometrist | 152W00000X | T005485 | NY | Yes |
| Optometrist | 152W00000X | 3967 | MN | |
| Optometrist | 152W00000X | OPC6924 | FL |
Addresses
Primary practice location
1810 N Jerusalem Rd
N Bellmore, NY 11710-1108
Mailing address
1810 N Jerusalem Rd
N Bellmore, NY 11710-1108
Phone (516) 214-6815
Other providers in N Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.