Active NPI 1053978361 Individual Practitioner Female Practitioner

Dr. Alexzandra Rudinoff Roth , OD

Optometrist • Fremont, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexzandra Roth, OD is a certified Optometrist practicing in Fremont, OH. With approximately 7 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2019, Dr. Roth delivers high-quality medical care to the local community at 2311 HAYES AVE.

Dr. Roth maintains professional affiliations with Eye Centers Of Northwest Ohio Llc, Toledo Society For The Blind and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2311 Hayes Ave
Suite B

Fremont, OH 434202634

Telephone 4193348121

Fax 4193329351

Associated Practice Facility / Clinic

🏢 Eye Centers Of Northwest Ohio Inc Facility NPI 1265447973

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fremont, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -19.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Fremont, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roth (7 Years) 7 Yrs

Fremont Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	158	$134.40	$121.43
99213 Established patient office or other outpatient visit, typically 15 minutes	90	81	$95.02	$85.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$186.62	$158.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$237.38	$208.62
92083 Exam of visual field with extended testing	33	31	$137.27	$58.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$77.45	$53.10
92133 Imaging of optic nerve	14	14	$83.29	$33.83
92134 Imaging of retina	13	12	$85.15	$37.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	137	$124.18	$123.77
99213 Established patient office or other outpatient visit, typically 15 minutes	91	73	$86.00	$86.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$181.58	$161.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$76.00	$54.43
92133 Imaging of optic nerve	31	31	$79.00	$35.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$237.38	$210.10
92083 Exam of visual field with extended testing	25	20	$134.00	$59.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	119	$124.20	$124.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$180.99	$163.46
99213 Established patient office or other outpatient visit, typically 15 minutes	52	49	$86.00	$86.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$76.00	$55.10
92133 Imaging of optic nerve	31	30	$79.00	$35.58
92083 Exam of visual field with extended testing	17	16	$134.00	$59.83
92134 Imaging of retina	14	12	$79.00	$38.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	91	$124.00	$124.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$181.88	$164.49
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$86.00	$86.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$237.18	$217.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$76.00	$54.37
92133 Imaging of optic nerve	29	28	$79.00	$35.75
92134 Imaging of retina	15	12	$79.00	$39.40
92083 Exam of visual field with extended testing	13	11	$134.00	$60.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$184.23	$161.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	42	$125.21	$105.95
99213 Established patient office or other outpatient visit, typically 15 minutes	40	29	$86.00	$72.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$76.00	$43.94
92134 Imaging of retina	14	13	$79.00	$39.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$183.78	$158.45

Medical Specialties & State Licenses

CMS Verified: 2025-12-04

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH OPT.006777

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0375568 (OH)

Commercial Insurance / Payer ID Ptan

Q00246380 (OH)

Hospital & Practice Group Affiliations

Toledo Society For The Blind

1002 Garden Lake Pkwy, Toledo, OH 436142780

Phone: 4197203937

Eye Centers Of Northwest Ohio Llc

2311 Hayes Ave, Fremont, OH 434202634

Phone: 4193328121

Secondary Practice Locations

1002 Garden Lake Pkwy

Toledo, OH 436142780

Phone: 4197203937

622 Parkway Dr

Fostoria, OH 448301573

Phone: 4194353482

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Jason Kolodziejczyk , OD

Optometrist

NPI 1124052626

Doctor of Optometry

Dr. Stacy Rellinger , OD

Optometrist

NPI 1134299209

Doctor of Optometry

Dr. Dale Solze , MD

Ophthalmology

NPI 1609809193

Doctor of Medicine (M.D.)

Dr. Gregory Derodes , OD

Optometrist

NPI 1790876605

Doctor of Optometry

Dr. Susan Smith , MD

Ophthalmology

NPI 1922242213

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location December 04, 2025

Registered at 2311 HAYES AVE, SUITE B, FREMONT, OH 434202634 (Tel: 4193348121)

📍

Updated Business Mailing Address December 04, 2025

Registered at 2311 HAYES AVE, SUITE B, FREMONT, OH 434202634 (Tel: 4193348121)

👤

Provider Name / Credentials Updated December 04, 2025

Recorded as ALEXZANDRA ROTH, OD

✅

NPI Profile Active May 22, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2019

Registered at 2311 HAYES AVE, FREMONT, OH 434202634 (Tel: 4193348121)

📍

Updated Business Mailing Address May 22, 2019

Registered at 617 E MADISON ST, GIBSONBURG, OH 434311411 (Tel: 4193077915)

👤

Provider Name / Credentials Updated May 22, 2019

Recorded as ALEXZANDRA RUDINOFF, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2019

Optometrist (License #OPT.006777 in OH)

🟢

Initial NPI Registration & Enumeration May 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053978361

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 22, 2019

Last Update: December 04, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2311 Hayes Ave, Suite B

Fremont, OH 434202634

Phone: 4193348121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.