JEFFREY M ROTH (NPI# 1437196631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437196631 |
| Entity Type | Individual |
| Full Name | JEFFREY M ROTH |
| Credential | OD |
| Practice Address |
725 Erie Blvd W Syracuse NY 13204-2229 |
| Practice Telephone | 3154752778 |
| Practice Fax Number | 3154713522 |
| Mailing Telephone | 3154752778 |
| Mailing Fax Number | 3154713522 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 006532 | NY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 002684 | CT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386966653 | Jeffrey Eugene Roth | Pharmacist | 4041 Washington Rd, Mc Murray, PA 15317-2520 | 2010-02-26 |
| 1871629006 | Jeffrey M Roth | Physical Therapist | 9004 Woodview Dr, Pittsburgh, PA 15237-4163 | 2007-02-23 |
| 1144399189 | Jeffrey R Roth | Dentist | 408 S Main St Ste 1, Hailey, ID 83333-8402 | 2006-11-06 |
| 1699862219 | Jeffrey D Roth | Social Worker | 333 N Washington, Ste 260, Hutchinson, KS 67501 | 2006-10-06 |
| 1932109212 | Jeffrey Joseph Roth | Plastic Surgery | 9280 W Sunset Rd Ste 236, Las Vegas, NV 89148-4861 | 2005-07-28 |
| 1326255340 | Jeffrey Lewis Roth | Dentist | Cmr 454, Box 1272, Apo, AE 09250-1272 | 2007-05-17 |
| 1598886558 | Jeffrey Roth | Counselor | 240 N James St, Suites 104-106, Wilmington, DE 19804-3169 | 2007-04-03 |
| 1184734584 | Jeffrey A Roth | Internal Medicine | 6600 Madison St, New Port Richey, FL 34652-1971 | 2006-08-30 |
| 1396752721 | Jeffrey David Roth | Psychiatry & Neurology | 25 E Washington St, Suite 1811, Chicago, IL 60602-1708 | 2006-08-01 |
| 1902868201 | Jeffrey Clark Roth | Internal Medicine | 2600 Redondo Ave, Long Beach, CA 90806-2329 | 2006-04-04 |
| Street Address |
725 ERIE BLVD W |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265668206 | Children First, LLC | Early Intervention Provider Agency | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2009-06-04 |
| 1487890703 | Ann Marie Bryant | Speech-Language Pathologist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-12-17 |
| 1598910788 | Kirsten Basch | Speech-Language Pathologist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-12-01 |
| 1558516807 | Wendy Marie Kincaid | Occupational Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-28 |
| 1770738346 | Michelle Marie Condon | Physical Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-24 |
| 1326292913 | Rachel Ann Zerrillo | Speech-Language Pathologist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-09 |
| 1922251925 | Victoria Lee Jones | Physical Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-04 |
| 1568657443 | Roth Vision Care, Doctor of Optometry, Pllc | Optometrist | 725 Erie Blvd W, Syracuse, NY 13204-2229 | 2007-09-13 |
| 1255492732 | Kiyoshi Kimura | Psychiatry & Neurology | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2006-12-12 |
| 1578649489 | Pamela Downey | Physical Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1003478520 | Kalindi Patel | Optometrist | 9537 Destiny Usa Dr # 723, Syracuse, NY 13204-9501 | 2019-07-04 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1114418480 | Joseph H Johnson | Optometrist | 2831 W 1150 S, Syracuse, UT 84075-5114 | 2018-05-22 |
| 1053723262 | Ross Jex Chatwin | Optometrist | 1792 W 1700 S Ste 202, Syracuse, UT 84075-9651 | 2014-05-21 |
| 1114218393 | Safi Optometrist PC | Optometrist | 333 W Washington St, Suite 110, Syracuse, NY 13202-6103 | 2011-04-22 |
| 1033413505 | Xavier Optical, Inc. | Optometrist | 218 Harrison St, Syracuse, NY 13202-3041 | 2010-12-27 |
| 1053582247 | Mid-plains Eyecare Center PC | Optometrist | 135 9th St, Syracuse, NE 68446-9740 | 2008-03-17 |
| 1730258575 | Joseph Ditota | Optometrist | 2901 Court St, Syracuse, NY 13208-3217 | 2006-11-07 |
| 1366523003 | Neal Marshall | Optometrist | 4473 E Genesee St, Syracuse, NY 13214-2242 | 2006-10-18 |
| 1548350358 | Frank Edmund Visco Jr. | Optometrist | 1304 Buckley Rd Ste 301, Syracuse, NY 13212-4318 | 2006-10-13 |
| Find all providers in SYRACUSE | ||||
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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.