Roth, Michael Stuart
Roth, Michael Stuart is an individual health care provider with primary practice located at 72057 Dinah Shore Dr Suite D, Rancho Mirage CA 92270-1791. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roth, Michael Stuart can be contacted via phone (760) 340-3937.Contact Information
Primary practice address
72057 Dinah Shore Dr Suite D
Rancho Mirage CA 92270-1791
Phone: (760) 340-3937
Fax: (760) 340-1940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SOL6058 | California |
Profile Details
| NPI number | 1912954827 |
|---|---|
| LBN Legal business name | Roth, Michael Stuart |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 4th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912954827 | NPPES |
| New York | Other | OVS09 | BCBS |
| New York | Other | 0250890001 | BCBS |
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