Sidney Roth, O.D. Inc.

LBN: Sidney Roth, O.D. Inc.
Sidney Roth, O.D. Inc. is an health care organization with primary practice located at 384 Northeast Ave , Tallmadge OH 44278-1443. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Sidney Roth, O.D. Inc. can be contacted via phone (330) 633-9190, or through Roth, Lawrence Jay via phone (330) 633-9190.

Contact Information

Primary practice address
384 Northeast Ave Tallmadge OH 44278-1443
Phone: (330) 633-9190
Fax: (330) 633-6899
Website:
Map and Directions
Authorized official contact:
Name: Roth, Lawrence Jay Doctor of Optometry (OD)
Phone: (330) 633-9190

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3750 Ohio

Profile Details

NPI number 1710153382
LBN Legal business name Sidney Roth, O.D. Inc.
DBA Doing business as
Authorized official Roth, Lawrence Jay Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2008
Last updated Aug 19th, 2008 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710153382 NPPES
Ohio MEDICAID 0585862
Ohio MEDICAID T48448

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