Carl J Roth Od PC

NPI #1053683037 in Bozeman, Montana

Provider Information

NPI Number: 1053683037
Entity Type: Organization
Organization Name: Carl J Roth Od PC
Primary Specialty: Optometrist
Enumeration Date: Feb 6, 2012
Last Updated: Mar 10, 2022

Practice Location

Address: 113 E OAK ST STE 2C
City: Bozeman
State: Montana
ZIP Code: 59715-2972
Phone: (406) 587-2020

Authorized Official

Name: DR. CARL J ROTH III, OD
Title: OD/PRESIDENT
Phone: (406) 587-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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