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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER D. FANNIN, OD, PSC

Active Organization

ROGER D. FANNIN, OD, PSC is a Optometrist organization located in GRAYSON, Kentucky. NPI 1114128667 is currently active in the NPPES registry. Verify at CMS.

Optometrist · GRAYSON, KY

Registration Details

NPI Number
1114128667
Provider Type
Organization
NPI Issued
May 31, 2007 (19.203250559168 yrs)
Last Updated
Apr 14, 2023
License
1018DT (KY)

Practice Information

Address
313 S CAROL MALONE BLVD
GRAYSON, KY, 411431357
Browse KY providers · Browse ZIP 41143
Phone
6064747833
Fax
6064743563
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in GRAYSON, KY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.