Individual provider Active NPI

Joseph Barrington Roth, OD

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1821760422
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2021036475 Issued in MO
Practice address
122 S County Center Way Ste a
Saint Louis, MO 63129-1092
Phone
(314) 416-7588
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2021036475 MO Primary

Addresses

Primary practice location

122 S County Center Way Ste a
Saint Louis, MO 63129-1092

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other practice location 1

912 Meramec Station Rd Unit A&b
Valley Park, MO 63088-2009
Phone (636) 556-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20221115001768 MO Practitioner - Optometry 2567830029 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021036475MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Day Optometry, Inc. PastSince Aug 12, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1821760422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S COUNTY CENTER WAY STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291092",
            "telephone_number": "314-416-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Meramec Station Rd Unit A&b",
            "address_purpose": "LOCATION",
            "city": "Valley Park",
            "state": "MO",
            "postal_code": "630882009",
            "country_code": "US",
            "telephone_number": "636-556-4390",
            "fax_number": "636-527-0766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JOSEPH",
        "middle_name": "BARRINGTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2021036475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.