IndividualActive
Carl Roth, OD
NPI 1174596738 · Optometrist · Great Falls, MT
Provider details
- NPI number
- 1174596738
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- MT675 (MT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2800 11th Ave S Ste 14
Great Falls, MT 59405-5263
Phone: (406) 455-2020
Fax: (406) 771-6816
Approximate (ZIP-level) locationGet directions
Mailing address
2800 11th Ave S Ste 14
Great Falls, MT 59405-5263
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.