FAMILY VISION HEALTH CENTER
NPI 1114128667
Optometrist in Grayson, KY
About Family Vision Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY VISION HEALTH CENTER (NPI 1114128667) is a healthcare organization registered as an optometrist in Grayson, Kentucky and active in the NPI registry since May 2007. The organization lists Roger D. Fannin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Vision Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Vision Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roger D. Fannin, Od, Psc's NPI number?
The NPI number for Roger D. Fannin, Od, Psc is 1114128667. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Family Vision Health Center.
Where is Roger D. Fannin, Od, Psc located?
Roger D. Fannin, Od, Psc is located at 313 S Carol Malone Blvd, Grayson, KY 41143. The listed phone number is (606) 474-7833.
What is Roger D. Fannin, Od, Psc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Roger D. Fannin, Od, Psc enrolled in Medicare?
Yes. Roger D. Fannin, Od, Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roger D. Fannin, Od, Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Roger D. Fannin, Od, Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Roger D. Fannin, Od, Psc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Roger D. Fannin, Od, Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roger D. Fannin, Od, Psc was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Family Vision Health Center · NPI 1114128667
Optometrist organization in Grayson, Kentucky. Organization record, active in the CMS NPPES registry since May 31, 2007.
## Identity
- **NPI:** 1114128667 (Entity type: Organization)
- **Enumerated:** May 31, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Roger D. Fannin, Od, Psc
- **Organization subpart:** No
- **Authorized official:** Roger Fannin, PRESIDENT
## Practice location
- **Address:** 313 S CAROL MALONE BLVD, Grayson, KY 41143-1357
- **Phone:** (606) 474-7833 · **Fax:** (606) 474-3563
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2023
- **Other identifiers:** Medicaid 77901023 (KY); Other DA4435 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114128667) · Data from the CMS NPPES public registry.