Family Vision Health Center

LBN: Roger D. Fannin, Od, Psc
Family Vision Health Center is an health care organization with primary practice located at 313 S Carol Malone Blvd , Grayson KY 41143-1357. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Roger D. Fannin, Od, Psc can be contacted via phone (606) 474-7833, or through Fannin, Roger D. via phone (606) 474-7833.

Contact Information

Primary practice address
313 S Carol Malone Blvd Grayson KY 41143-1357
Phone: (606) 474-7833
Fax: (606) 474-3563
Website:
Map and Directions
Authorized official contact:
Name: Fannin, Roger D. Doctor of Optometry (OD)
Phone: (606) 474-7833

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1018DT Kentucky

Profile Details

NPI number 1114128667
LBN Legal business name Roger D. Fannin, Od, Psc
DBA Doing business as Family Vision Health Center
Authorized official Fannin, Roger D. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Apr 14th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114128667 NPPES
Kentucky MEDICAID 77901023
Kentucky Other DA4435

Popular Providers