DR. MICHAEL STUART ROTH (NPI# 1912954827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912954827 |
Entity Type | Individual |
Full Name | DR. MICHAEL STUART ROTH |
Credential | O.D. |
Practice Address |
72057 Dinah Shore Dr Suite D Rancho Mirage CA 92270-1791 |
Practice Telephone | 7603403937 |
Practice Fax Number | 7603401940 |
Mailing Telephone | 7603403937 |
Mailing Fax Number | 7603401940 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2013-04-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | SOL6058 | CA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | BCBS | OVS09 | 01 |
NY | DMERC | 0250890001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326390220 | Michael Stewart Roth | Obstetrics & Gynecology | 2115 Ne 197th Ter, Miami, FL 33179-3127 | 2012-10-03 |
1457641110 | Michael Paul Roth | Behavioral Analyst | 3834 Birchwood Cir, Harrisburg, PA 17110-9385 | 2011-04-14 |
1093979262 | Michael Scott Roth | Chiropractor | 27 W Columbia St, Hempstead, NY 11550-2410 | 2008-07-16 |
1568654044 | Michael Roth | Ophthalmology | 1060 Chestnut St, Ann Arbor, MI 48104-2824 | 2007-08-17 |
1124225024 | Michael Donald Roth | Registered Nurse | 11133 Oliver Rd, Mc Kean, PA 16426-2236 | 2007-07-02 |
1740405687 | Michael D Roth | Dentist | 403 Washington Lane, Jenkintown, PA 19046 | 2007-04-16 |
1396893061 | Michael A Roth | Specialist | 42450 W 12 Mile Rd Ste 205, Novi, MI 48377-3030 | 2007-01-08 |
1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
1811423957 | Michael Roth | Internal Medicine | Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708 | 2017-05-10 |
1760927313 | Michael Roth | Physician Assistant | 8268 164th St, Suite 1b-02, Jamaica, NY 11432-1121 | 2017-01-05 |
Street Address |
72057 DINAH SHORE DR SUITE D |
City | RANCHO MIRAGE |
State | CA |
Zip Code | 92270-1791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164777025 | Karine Shaghoyan | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2012-07-17 |
1669600755 | Eldad Adler | Ophthalmology | 72057 Dinah Shore Dr, Bldg. D, Rancho Mirage, CA 92270-1791 | 2009-06-26 |
1235210584 | Milauskas Eye Institute Medical Group II Inc | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-10-17 |
1760587588 | Bart Ketover | Ophthalmology | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-09-14 |
1144325960 | Winston H Alwes | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-09-14 |
1972606424 | Jon Emberland | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-09-07 |
1063527406 | Janet K Hartzler | Ophthalmology | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-08-19 |
1700991155 | Paul Yoh | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
Find all providers in zip 92270 |
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 |
---|---|---|---|---|
1225645211 | Rancho Mirage Optometric Family Eyecare, Inc. | Optometrist | 71703 Highway 111 Ste 2a, Rancho Mirage, CA 92270-4478 | 2020-09-24 |
1912147869 | Burton C Blaurock Od | Optometrist | 42390 Bob Hope Dr, Rancho Mirage, CA 92270-4469 | 2009-03-04 |
1922044205 | Gregory E Evans | Optometrist | 71956 Magnesia Falls Dr, Rancho Mirage, CA 92270-4901 | 2006-06-22 |
1194719302 | Burton Charles Blaurock | Optometrist | 42452 Bob Hope Dr, Suite 1, Rancho Mirage, CA 92270-4470 | 2005-09-01 |
1891347076 | Jaehoon Lee Optometry Corp | Optometrist | 71956 Magnesia Falls Dr, Rancho Mirage, CA 92270-4901 | 2019-07-09 |
1164777025 | Karine Shaghoyan | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2012-07-17 |
1215009618 | Evans Optometry Clinic Inc. | Optometrist | 71956 Magnesia Falls Dr, Rancho Mirage, CA 92270-4901 | 2006-11-14 |
1235210584 | Milauskas Eye Institute Medical Group II Inc | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-10-17 |
1144325960 | Winston H Alwes | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-09-14 |
1972606424 | Jon Emberland | Optometrist | 72057 Dinah Shore Dr, Suite D, Rancho Mirage, CA 92270-1791 | 2006-09-07 |
Find all providers in RANCHO MIRAGE |
City | RANCHO MIRAGE |
Zip Code | 92270 |
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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.