ROTH AND RUSSIN LLC (NPI# 1891781381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891781381 |
| Entity Type | Organization |
| Organization Name | ROTH AND RUSSIN LLC |
| Other Organization Name | MAIN LINE EYE SPECIALISTS |
| Practice Address |
124 Bloomingdale Ave Wayne PA 19087-3929 |
| Practice Telephone | 6106876888 |
| Practice Fax Number | 6106871120 |
| Mailing Telephone | 6106876888 |
| Mailing Fax Number | 6106871120 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-10-03 |
| Authorized Official Name | DR. RICHARD E ROTH (OWNER) |
| Authorized Official Telephone | 6106876888 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Main Line Eye Specialists | Doing Business As Name - Organization |
| Street Address |
124 BLOOMINGDALE AVE |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457682551 | Lance Isakov | Acupuncturist | 124 Bloomingdale Ave, 2nd Floor, Wayne, PA 19087-3929 | 2010-01-29 |
| 1336314947 | John Michael Swainson | Technician/Technologist | 124 Bloomingdale Ave, Wayne, PA 19087-3929 | 2008-04-24 |
| 1578587911 | Roth & Russin LLC | Optometrist | 124 Bloomingdale Ave, Wayne, PA 19087-3929 | 2006-07-27 |
| 1609878644 | Randall William Bell | Ophthalmology | 124 Bloomingdale Ave, Wayne, PA 19087-3929 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104184621 | Bryan Abessi | Ophthalmology | 220 Hamburg Tpke Ste 7, Advanced Eye Care, Wayne, NJ 07470-3412 | 2012-05-03 |
| 1649465642 | Thomas M Obrotka | Ophthalmology | 516 Hamberg Tnpk, Ste 10 N Jersey Med Vlg, Wayne, NJ 07470 | 2007-09-12 |
| 1407966526 | Paulo Mendes Correa-meyer | Ophthalmology | 295 Old Eagle School Road, Ste 1, Wayne, PA 19087-2697 | 2006-08-30 |
| 1891756375 | Steven B Siepser | Ophthalmology | 860 E Swedesford Rd, 100, Wayne, PA 19087 | 2006-04-01 |
| 1427019207 | Kenneth Eli Morgenstern | Ophthalmology | 123 Bloomingdale Ave, Suite 102, Wayne, PA 19087-4056 | 2006-03-31 |
| 1043279979 | Ken Edward Mishler | Ophthalmology | 968 Hamburg Tpke, Wayne, NJ 07470-3225 | 2006-03-20 |
| 1053392258 | Scott W Silodor | Ophthalmology | 1211 Hamburg Tpke, 224, Wayne, NJ 07470-5043 | 2005-11-07 |
| 1639323785 | Deanna Z. Macek, Md, LLC | Ophthalmology | 2025 Hamburg Tpke, Suite H, Wayne, NJ 07470-6260 | 2008-11-14 |
| 1417148594 | Eye Associates of Wayne | Ophthalmology | 968 Hamburg Tpke, Wayne, NJ 07470-3225 | 2007-08-05 |
| 1508938010 | Deanna Z Macek | Ophthalmology | 2025 Hamburg Tpke, Suite H, Wayne, NJ 07470-6260 | 2006-11-14 |
| Find all providers in WAYNE | ||||
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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.