| NPI | 1093831497 |
|---|---|
| Other Name | JEFF ROTH |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S ROTH Optician Owner 516-378-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007084) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |