DR. MARY ELLEN ROTH (NPI# 1912065160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912065160 |
| Entity Type | Individual |
| Full Name | DR. MARY ELLEN ROTH |
| Credential | O.D. |
| Practice Address |
4157 Belden Village Mall Canton OH 44718-2501 |
| Mailing Address |
Po Box 880 Hudson OH 44236-5880 |
| Practice Telephone | 3304944140 |
| Practice Fax Number | 8664252239 |
| Mailing Telephone | 3306974748 |
| Mailing Fax Number | 8664252239 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3777 | OH | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3777 | OH | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082566 | Mary Ellen Roth | Counselor | 695 South Street, #6, Chardon, OH 44024 | 2011-07-01 |
| 1851483358 | Mary C Roth | Speech-Language Pathologist | 575 Scarsdale Rd, Tuckahoe, NY 10707-1659 | 2006-09-29 |
| 1336250687 | Mary Kay Roth | Dentist | 807 St Andrew, Rapid City, SD 57701-4526 | 2006-08-31 |
| 1780064139 | Mary Elizabeth Roth | Pharmacist | 101 Manning Dr, Cb 7600, Chapel Hill, NC 27514-4220 | 2015-06-01 |
| 1780028928 | Mary J Roth | Dietitian, Registered | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2013-04-18 |
| 1669790580 | Mary Roth | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2010-05-17 |
| 1467606392 | Mary Deborah Roth | Dietitian, Registered | 3009 N Ballas Rd Ste 216b, Ste 216b, Saint Louis, MO 63131-2322 | 2008-11-05 |
| 1467618785 | Mary A Roth | Nurse Practitioner | 2301 South 65 Highway, Marshall, MO 65340-3702 | 2008-08-06 |
| 1386817377 | Mary Claire Roth | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2008-04-10 |
| 1104947506 | Mary Margaret Roth | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-04-03 |
| Street Address |
4157 BELDEN VILLAGE MALL |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316032352 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2006-10-04 |
| 1972049716 | Belden Optometry LLC | Optometrist | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2017-01-18 |
| 1891183505 | Michelle Walchuck | Optometrist | 4157 Belden Village Mall, Dr. Richard E. Hults and Assoc., Inc, Canton, OH 44718 | 2015-01-05 |
| 1831331818 | Adam Ernest Schmidt | Optometrist | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2009-04-06 |
| 1437372208 | Dr. Richard E. Hults & Assoc., Inc. | Optometrist | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136224 | Myeyedr Optometry of Georgia LLC | Optometrist | 1409 Sixes Rd, Canton, GA 30114-8950 | 2020-02-14 |
| 1508497041 | Megan Rath | Optometrist | 4233 Fulton Dr Nw, Canton, OH 44718-2856 | 2020-02-03 |
| 1235769027 | Canton Optique, LLC | Optometrist | 41840 Ford Rd, Canton, MI 48187-3600 | 2020-01-21 |
| 1740665298 | Belleville-canton Optometry LLC | Optometrist | 1675 N Canton Center Rd, Canton, MI 48187 | 2015-07-27 |
| 1538567243 | Blink Eyecare, Pllc | Optometrist | 108 N. Ridge Rd, Canton, MI 48187-6678 | 2014-12-11 |
| 1528485703 | Eye Definition Pllc | Optometrist | 405 N. Canton Center, Canton, MI 48187 | 2014-03-25 |
| 1013261288 | Crystal Mizell | Optometrist | 2030 Cumming Hwy Ste 106, Canton, GA 30115-8009 | 2012-11-09 |
| 1922371665 | Sharper Vision, Pllc | Optometrist | 1675 N. Canton Center Rd., Canton, MI 48187 | 2012-02-10 |
| 1508133588 | Vishal Sanjay Patel | Optometrist | 201 Kimberly Way, Suite 106, Canton, GA 30114-8008 | 2011-11-19 |
| 1356570691 | Nathan David Borntrager | Optometrist | 4820 Everhard Rd Nw, Canton, OH 44718-2413 | 2009-07-08 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.