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Contact Information

CARL J ROTH OD PC
113 E OAK ST STE 2C
BOZEMAN, MT59715-2972
 Phone: 406-587-2020
 Fax: 844-965-9460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CARL J ROTH OD PC · (Female)

NPI Number 1053683037
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2012
Last updated 03/10/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT License # 675
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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