Active NPI
Joseph Barrington Roth, OD
- Optometrist
- Saint Louis, MO
National Provider Identifier
1821760422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2021036475
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021036475 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Optometry, Inc. | Past | 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.
-
- Optometrist
- Ellisville, MO
- NPI 1497155345
-
- Optometrist
- Fenton, MO
- NPI 1740602762
-
- Eyewear Supplier
- Fenton, MO
- NPI 1083844922
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.