Rodgers, Larry Morgan

Rodgers, Larry Morgan is an sole proprietor health care provider with primary practice located at 5757A Atlanta Hwy , Montgomery AL 36117-2150. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rodgers, Larry Morgan can be contacted via phone (334) 271-3405.

Contact Information

Primary practice address
5757A Atlanta Hwy Montgomery AL 36117-2150
Fax: (334) 277-3016
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-617-TA-320 Alabama

Profile Details

NPI number 1851467872
LBN Legal business name Rodgers, Larry Morgan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Apr 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851467872 NPPES
Alabama Other 51033649 BLUE CROSS BLUE SHIELD
Alabama Other 51058051 BLUE CROSS BLUE SHIELD
Alabama Other 51098555 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000058051 BLUE CROSS BLUE SHIELD

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