Roger D. Fannin, Od, Psc, NPI 1114128667
Optometrist in Grayson, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1114128667 |
| NPI Entity Type | Organization |
| Provider Name |
Roger D. Fannin, Od, Psc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 313 S Carol Malone Blvd, Grayson, KY, US |
| Provider Mailing Address | 313 S Carol Malone Blvd, Po Box 485, Grayson, KY, US, 411431357 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. OD Roger D. Fannin |
| Official Position | PRESIDENT |
| Phone | 606-474-7833 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Optometrist |
| Classification | |
| Group | |
| License No. | 1018DT |
| License State | KY |
| Description | 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 77901023 | KY | MEDICAID | 05 |
| DA4435 | KY | RR MEDICARE | 01 |
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