Individual
DR. REED T ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
28370 KENSINGTON LN, SUITE A, PERRYSBURG, OH 43551-4163
(419) 874-3125
(419) 874-8606
Mailing address
28370 KENSINGTON LN, SUITE A, PERRYSBURG, OH 43551-4163
(419) 874-3125
(419) 874-8606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4965T1835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301272
ANTHEM BC/BS
OH
01
—
03418
PARAMOUNT HEALTH CARE
OH
05
—
2151068
—
OH
01
—
360954
NATIONAL VISION ADMINISTR
OH
Enumeration date
05/24/2005
Last updated
05/09/2012
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