Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Zachary D Roth, OD

Individual provider Optometrist · NPI 1821347402

Dr. Zachary D Roth, OD is an Optometry in Fort Wayne, Indiana. Graduated from Indiana University - School of Optometry in 2012, 14 years ago. Practices with Northeast Ophthalmology P C, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Trained at
Indiana University - School of Optometry
Licensed in
IN
In the registry since
2012
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3301 Lake Ave
Fort Wayne, IN 46805-5529
Phone: (260) 422-3937
Fax: (260) 424-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18003761A (IN)

Record details

NPI number1821347402
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESMarch 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Northeast Ophthalmology P C — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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