Roth, David M

Roth, David M is an sole proprietor health care provider with primary practice located at 136 Ne 2Nd Ave , Miami FL 33132-2509. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Roth, David M can be contacted via phone (305) 374-5127.

Contact Information

Primary practice address
136 Ne 2Nd Ave Miami FL 33132-2509
Phone: (305) 374-5127
Fax: (305) 374-2123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC2436 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2436 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 2436 Florida

Profile Details

NPI number 1922036458
LBN Legal business name Roth, David M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Apr 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922036458 NPPES
Florida MEDICAID 078818000

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