MRS. ALEXZANDRA RUDINOFF ROTH OD
NPI 1053978361
Optometrist in Fremont, OH
About Mrs. Alexzandra Rudinoff Roth Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALEXZANDRA RUDINOFF ROTH OD (NPI 1053978361) is an individual optometrist in Fremont, Ohio, licensed in Ohio (OPT.006777) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University - College Of Optometry (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Alexzandra Rudinoff Roth Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Alexzandra Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fremont, OH 43420
- Reassigned Medicare billing, Ohio enrollment
- 5 clinicians in this Medicare group
Toledo, OH 43614
- Reassigned Medicare billing, Ohio enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alexzandra Roth's NPI number?
The NPI number for Alexzandra Roth is 1053978361. It was assigned to this individual provider in the NPPES registry on May 22, 2019. The provider is also known as Ms. Alexzandra A Rudinoff.
Where is Alexzandra Roth located?
Alexzandra Roth practices at 2311 Hayes Ave Suite B, Fremont, OH 43420. The listed phone number is (419) 334-8121.
What is Alexzandra Roth's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alexzandra Roth enrolled in Medicare?
Yes. Alexzandra Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Alexzandra Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexzandra Roth reassigns Medicare benefits to 2 organizations: Eye Centers Of Northwest Ohio LLC (Fremont, OH) and Toledo Society For The Blind (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexzandra Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexzandra Roth accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, MedMutual and Oscar Health and 8 other insurers list Alexzandra Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alexzandra Roth was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Alexzandra Rudinoff Roth, OD · NPI 1053978361
Optometrist provider in Fremont, Ohio. Individual provider, active in the CMS NPPES registry since May 22, 2019.
## Identity
- **NPI:** 1053978361 (Entity type: Individual)
- **Enumerated:** May 22, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT.006777 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2311 HAYES AVE, SUITE B, Fremont, OH 43420-2634
- **Phone:** (419) 334-8121 · **Fax:** (419) 332-9351
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eye Centers Of Northwest Ohio LLC (NPI 1124284518, Fremont, OH); Toledo Society For The Blind (NPI 1922103209, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 2019
## Record status
- **NPPES last updated:** December 4, 2025
- **Other identifiers:** Medicaid 0375568 (OH); Other Q00246380 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1053978361) · Data from the CMS NPPES public registry.