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Sidney Roth, O.D. Inc.

NPI 1710153382ActiveOrganization· Optometrist· Tallmadge, OH

Optometrist in Tallmadge, Ohio, registered in NPPES in May 2008. The authorized official on file is Lawrence Jay Roth, O.D., Pres. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1710153382
StatusActive
Entity typeOrganization
NPI issuedMay 5, 2008
Last updated in NPPESAug 19, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X3750OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OH)

Medicare sources and data years

Other Optometrist providers in Tallmadge

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