Roger D. Fannin, OD, Psc
About this NPIWhat this record shows.
NPI 1114128667 is registered to Roger D. Fannin, OD, Psc, a healthcare organisation classified as "Optometrist" and located at 313 S Carol Malone Blvd in Grayson, Kentucky. The organisation's authorised official is Roger Fannin. The organisation has been enumerated in the NPI registry since 2007.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 77901023KY
Other
- DA4435KY· Issued by RR MEDICARE
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20040511000640Clinic/Group PracticeKY
DME Supplier
- O20100930063362Physician - OptometristKY
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Roger D. Fannin, OD, Psc accepts. To confirm in-network status with your specific health plan, contact Roger D. Fannin, OD, Psc directly at (606) 474-7833.
Frequently asked
Yes. NPI 1114128667 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (606) 474-7833.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Roger D. Fannin, OD, Psc is a Type-2 organisational NPI.