Whalio Doctors

NPI 1053683037

Carl J Roth OD PC

Organisation Optometrist Bozeman, MT

Practice location

Address
113 E Oak St STE 2c, Bozeman, MT 59715-2972
Phone
(406) 587-2020
Fax
(844) 965-9460

Authorised official

Name
Carl J Roth
Title
Od/President
Phone
(406) 587-2020

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X
Eyewear Supplier
Suppliers Taxonomy 332H00000X Licence 675 (MT)

Registry record

NPI
1053683037
Entity type
Organization
NPI issued
6 Feb 2012
Record last updated
10 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.