Individual
DR. MARY ELLEN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4157 BELDEN VILLAGE MALL, CANTON, OH 44718-2501
(330) 494-4140
(866) 425-2239
Mailing address
PO BOX 880, HUDSON, OH 44236-5880
(330) 697-4748
(866) 425-2239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3777
OH
152WC0802X
Corneal and Contact Management Optometrist
3777
OH
Other
Enumeration date
12/04/2006
Last updated
01/24/2020
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