Roger D. Fannin, Od, PSC
NPI 1114128667ActiveOrganization· Optometrist· Grayson, KY
Optometrist in Grayson, Kentucky, registered in NPPES in May 2007. The authorized official on file is Roger D. Fannin, OD, President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1114128667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2007 |
| Last updated in NPPES | Apr 14, 2023 |
| Certified by provider | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1018DT | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (KY); Part B Supplier - Clinic/Group Practice (KY) |
|---|
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