Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER D. FANNIN, O.D.
Active Sole ProprietorDR. ROGER D. FANNIN, O.D. is a Optometrist healthcare provider located in GRAYSON, Kentucky. NPI 1407857766 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GRAYSON, KY
Registration Details
- NPI Number
- 1407857766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.976699747031 yrs)
- Last Updated
- Apr 14, 2023
- Licenses
-
KY1018DT (KY)1018DT (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
313 S CAROL MALONE BLVDGRAYSON, KY, 411431357Browse KY providers · Browse ZIP 41143
- Phone
- 6064747833
- Fax
- 6064743563
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in GRAYSON, KY
| Name | Credential | NPI |
|---|---|---|
| ANTHONY SCOTT KEE | OD | 1053311589 |
| DR. JASON H MCCLOUD | O.D. | 1679505507 |
| DR. MARY CATHERINE WEST | O.D. | 1346450533 |
| DR. GARRETT SCOTT KEE | OD | 1154949147 |
| DR. JOSHUA C ARNETT | OD | 1073351854 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.