DR. ROGER FANNIN, O.D.
Optometrist
Active
Individual
NPI: 1407857766
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Eyewear Supplier | 332H00000X | No | KY1018DT (KY) |
| Optometrist | 152W00000X | Yes | 1018DT (KY) |
Frequently Asked Questions
NPI 1407857766 is the National Provider Identifier for DR. ROGER FANNIN, O.D., a Optometrist provider located in Grayson, KY. This NPI was enumerated on August 9, 2005.
DR. ROGER FANNIN, O.D. practices at 313 S CAROL MALONE BLVD, Grayson, KY 41143.
Quick Facts
- NPI
- 1407857766
- Type
- Individual
- Enumerated
- Aug 9, 2005
- Last Updated
- Apr 14, 2023
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