IndividualActive
Brian Roth, M.D.
NPI 1649273889 · Ophthalmology Physician · Moses Lake, WA
Provider details
- NPI number
- 1649273889
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00029599 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1022 W Ivy Ave
Moses Lake, WA 98837-4107
Phone: (509) 765-7845
Fax: (509) 765-5192
Approximate (ZIP-level) locationGet directions
Mailing address
1022 W Ivy Ave
Moses Lake, WA 98837-4107
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2010-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.