Rogers, Kevin A

Rogers, Kevin A is an sole proprietor health care provider with primary practice located at 18522 Magnolia Bridge Rd Suite A, Greenwell Springs LA 70739-4662. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rogers, Kevin A can be contacted via phone (225) 261-6282.

Contact Information

Primary practice address
18522 Magnolia Bridge Rd Suite A Greenwell Springs LA 70739-4662
Phone: (225) 261-6282
Fax: (225) 261-6012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1560-592T Louisiana

Profile Details

NPI number 1760647960
LBN Legal business name Rogers, Kevin A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2008
Last updated Jan 25th, 2012 - about 12 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 1760647960 NPPES
Louisiana MEDICAID 1309176

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