Dr. Roger D. Fannin is a Grayson, Kentucky based male Optometrist with 41 years of experience in Optometry. He completed his graduation from University Alabama Birmingham - School Of Optometry in 1983. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Roger D. Fannin is 1018DT for Optometry in Kentucky. Dr. Roger D. Fannin 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Roger D. Fannin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
41+ years
Medical School Attended:
University Alabama Birmingham - School Of Optometry
Graduation Year:
1983
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
313 S Carol Malone Blvd, Grayson, Kentucky, 41143-1357
Phone:
606-474-7833
Fax:
606-474-3563
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7113916453
Enrollment ID:
I20040511000730
NPI Number:
1407857766
NPI Enumeration Date:
09 Aug, 2005
NPI Last Update On:
14 Apr, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roger D. Fannin are as mentioned below.
License Number
Specialization
State
Status
1018DT
Optometry
Kentucky
Primary
KY1018DT
Eyewear Supplier (Equipment, not the service)
Kentucky
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Roger D. Fannin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
77010189
Medicaid
Kentucky
5965025
Other
Kentucky
AETNA
45775780
Other
Kentucky
EPSDT
000000048519
Other
Kentucky
ANTHEM
611071677
Other
FEDERAL TAX ID
P00059060
Other
Kentucky
RR MEDICARE PTAN
2272760
Other
FIRST HEALTH INS. CO
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
313 S Carol Malone Blvd, Po Box 485 Grayson, Kentucky
Zip:
41143-1357
Phone Number:
606-474-7833
Fax Number:
606-474-3563
Patients can reach Dr. Roger D. Fannin at 313 S Carol Malone Blvd, Grayson, Kentucky or can call to book an appointment on 606-474-7833. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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