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Search › Indiana › 152W00000X

Zachary Roth, O.D

NPI 1821347402 · on the registry since 2012

Practice

Address
3301 Lake Ave
Fort Wayne, IN 46805
Phone
(260) 422-3937
Fax
(260) 424-6900
Organisation at this address
Northeast Ophthalmology Pc
Northeast Ophthalmology P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana