NPI 1174596738

Carl J Roth, OD

Practitioner Optometrist Great Falls, MT

Practice location

Address: 2800 11th Ave S STE 14, Great Falls, MT 59405-5263
Phone: (406) 455-2020
Fax: (406) 771-6816

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence MT675 (MT)

Other Optometrist providers in Montana →

Registry record

NPI: 1174596738
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2006
Record last updated: 8 Dec 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.