DR. JAMES GERARD ROTH (NPI# 1013071075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013071075 |
Entity Type | Individual |
Full Name | DR. JAMES GERARD ROTH |
Credential | O.D. |
Practice Address |
6857 S Pulaski Rd Chicago IL 60629-4151 |
Practice Telephone | 7737675000 |
Practice Fax Number | 7737675176 |
Mailing Telephone | 7737675000 |
Mailing Fax Number | 7737675176 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2008-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 046008029 | IL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS OF IL | 08127171 | 01 |
IL | 046008029 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053967992 | James M Roth II | Nurse Practitioner | 43 New Scotland Ave # 73, Albany, NY 12208-3478 | 2019-08-15 |
1184154882 | James H Roth | Physical Therapy Assistant | 14699 East Hampden Avenue, Aurora, CO 80014 | 2017-06-14 |
1881974020 | James Joseph Roth | Counselor | 16260 N 71st St, Scottsdale, AZ 85254-4900 | 2011-08-19 |
1437105608 | James Edward Roth | Anesthesiology | 1600 Mcarthur St, Manchester, TN 37355-2522 | 2006-05-26 |
1104895705 | James T Roth | Obstetrics & Gynecology | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2006-03-16 |
1528055589 | James L Roth | Family Medicine | 1140 Hammond Dr, Suite 350 Building K, Atlanta, GA 30328-5338 | 2005-10-04 |
1144227778 | James M Roth | Otolaryngology | 125 Crestview Park Dr Ste 2, Dickson, TN 37055-2853 | 2005-06-28 |
1720243520 | James E Roth | Psychiatry & Neurology | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2008-07-22 |
1699890590 | James A Roth | Internal Medicine | 1500 Waters Pl, Bronx, NY 10461-2723 | 2007-03-20 |
1366557928 | James B Roth | Surgery | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2006-08-21 |
Street Address |
6857 S PULASKI RD |
City | CHICAGO |
State | IL |
Zip Code | 60629-4151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679522643 | Insight Health Corp | Physiological Laboratory | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2006-05-08 |
1093290181 | Romo Dental II, P.C. | Clinic/Center | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2018-09-25 |
1669623419 | Roth Eye Care P.C. | Optometrist | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2008-10-09 |
1316076052 | Anthony P Benard | Dentist | 6857 S Pulaski Rd, Chicago, IL 60629-4151 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
Find all providers in zip 60629 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
1588280358 | Iwona B. Lazarz | Optometrist | 6500 W Irving Park Rd Ste I, Chicago, IL 60634-2454 | 2020-06-17 |
1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
1578196341 | Steven K. Siu | Optometrist | 2719 S Princeton Ave Fl 1, Chicago, IL 60616-4883 | 2020-02-19 |
1235789884 | Courtney Bandemer | Optometrist | 3708 N Southport Ave, Chicago, IL 60613-6888 | 2019-09-16 |
1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
1154977759 | Keralyn Totten | Optometrist | 230 E Ohio St Ste 120, Chicago, IL 60611-3266 | 2019-08-11 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.