Dr Zachary D Roth, OD | |
3301 Lake Ave, Fort Wayne, IN 46805-5529 | |
(260) 422-3937 | |
(260) 424-6900 |
Full Name | Dr Zachary D Roth |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 12 Years |
Location | 3301 Lake Ave, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821347402 | NPI | - | NPPES |
201197920 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003761A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Ophthalmology Pc | 4688611692 | 8 |
Provider Name | Northeast Ophthalmology Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265418719 PECOS PAC ID: 4688611692 Enrollment ID: O20050412000402 |
Mailing Address | Practice Location Address |
---|---|
Dr Zachary D Roth, OD 3301 Lake Ave, Fort Wayne, IN 46805-5529 Ph: (260) 422-3937 | Dr Zachary D Roth, OD 3301 Lake Ave, Fort Wayne, IN 46805-5529 Ph: (260) 422-3937 |
Dr. Martin R. White, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6110 Maplecrest Rd, Fort Wayne, IN 46835 Phone: 260-486-8833 Fax: 260-486-8784 | |
Dr. George D Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-3095 Fax: 260-420-2258 | |
Eric Skorupa, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2001 Reed Rd, Fort Wayne, IN 46815 Phone: 260-426-5663 Fax: 260-426-5693 | |
Rutan Optometry Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5229 Coldwater Rd, Fort Wayne, IN 46825 Phone: 260-484-1453 Fax: 260-483-8287 | |
Brent D. Burch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7625 Southtown Xing, Fort Wayne, IN 46816 Phone: 260-447-9731 Fax: 260-441-8276 | |
Dr. Frank Robinson Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6710 Old Trail Rd, Fort Wayne, IN 46809 Phone: 260-203-5905 Fax: 260-218-1802 | |
Dr. Daniel P Taylor, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 431 W Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-484-8516 Fax: 260-484-8521 |