NPIMap

Organization Active NPI

Roth and Russin LLC

Doing business as Main Line Eye Specialists

  • Ophthalmology Physician
  • Wayne, PA
National Provider Identifier
1891781381
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROTH AND RUSSIN LLC
Doing business as
Main Line Eye Specialists
Practice address
124 Bloomingdale Ave
Wayne, PA 19087-3929
Phone
(610) 687-6888
Fax
(610) 687-1120
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Richard E Roth, D.O.
Title
Owner
Phone
(610) 687-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

124 Bloomingdale Ave
Wayne, PA 19087-3929

Mailing address

124 Bloomingdale Ave
Wayne, PA 19087-3929
Phone (610) 687-6888

Other names 1

  • Main Line Eye Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

301 E City Ave
Ste 335
Bala Cynwyd, PA 19004
Phone (610) 617-4164

2705 DeKalb Pike
Ste 106
Norristown, PA 19401
Phone (610) 275-1502

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1891781381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BLOOMINGDALE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873929",
            "telephone_number": "610-687-6888",
            "fax_number": "610-687-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BLOOMINGDALE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873929",
            "telephone_number": "610-687-6888",
            "fax_number": "610-687-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH AND RUSSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-687-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.