SIDNEY ROTH, O.D. INC.
NPI 1710153382
Optometrist in Tallmadge, OH

Q: What is Sidney Roth, O.D. Inc.'s NPI number?

The NPI number for Sidney Roth, O.D. Inc. is 1710153382. It was assigned to this organization in the NPPES registry on May 5, 2008.

Q: What is Sidney Roth, O.D. Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 05, 2008

384 NORTHEAST AVE, TALLMADGE, OH 44278(330) 633-9190(330) 633-6899 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sidney Roth, O.d. Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDNEY ROTH, O.D. INC. (NPI 1710153382) is a healthcare organization registered as an optometrist in Tallmadge, Ohio and active in the NPI registry since May 2008. The organization lists Lawrence Jay Roth, Pres., as its authorized official.

NPPES Registry Identity

NPI1710153382

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSIDNEY ROTH, O.D. INC.

Location Address384 NORTHEAST AVETallmadge, OH 44278-1443

Mailing Address384 Northeast AveTallmadge, OH 44278-1443 · (330) 633-9190 · Fax (330) 633-6899

Phone(330) 633-9190

Fax(330) 633-6899

Organization SubpartNo

Authorized OfficialLawrence Jay RothPres. · (330) 633-9190

Enumeration DateMay 5, 2008

Last NPPES UpdateAugust 19, 2008

✔ NPI 1710153382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 3750

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

384 NORTHEAST AVE, Tallmadge, OH 44278

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Other Identifiers 5

Medicaid0585862OH

Medicare PINR00588622OH

Medicare PIN9932971OH

MedicaidT48448OH

Medicare NSC0444000001OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidney Roth, O.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sidney Roth, O.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lawrence Roth, O.D.

Optometry

NPI 1215916887

384 NORTHEAST AVE
Tallmadge, OH 44278

(330) 633-9190

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sidney Roth, O.D. Inc.'s NPI number?

The NPI number for Sidney Roth, O.D. Inc. is 1710153382. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Sidney Roth, O.D. Inc. located?

Sidney Roth, O.D. Inc. is located at 384 Northeast Ave, Tallmadge, OH 44278. The listed phone number is (330) 633-9190.

What is Sidney Roth, O.D. Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sidney Roth, O.D. Inc. enrolled in Medicare?

Yes. Sidney Roth, O.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sidney Roth, O.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Sidney Roth, O.D. Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sidney Roth, O.D. Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 3 other insurers list Sidney Roth, O.D. Inc. 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 Sidney Roth, O.D. Inc. was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.