DR. ROGER D. FANNIN O.D.
NPI 1407857766
Optometrist in Grayson, KY

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
313 S CAROL MALONE BLVD, GRAYSON, KY 41143(606) 474-7833(606) 474-3563 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Dr. Roger D. Fannin O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER D. FANNIN O.D. (NPI 1407857766) is an individual optometrist in Grayson, Kentucky, licensed in Kentucky (1018DT) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1983).

NPPES Registry Identity

NPI1407857766
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROGER D. FANNINCredential: O.D.
Location Address313 S CAROL MALONE BLVDGrayson, KY 41143-1357
Mailing Address313 S Carol Malone Blvd, Po Box 485Grayson, KY 41143-1357 · (606) 474-7833 · Fax (606) 474-3563
Fax(606) 474-3563
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1983
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1407857766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in KY · 1018DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedEyewear SupplierTaxonomy 332H00000X · License KY1018DT (KY)
313 S CAROL MALONE BLVD, Grayson, KY 41143

Other Identifiers 7

Medicaid77010189KY
Other5965025KY · Aetna
Other45775780KY · Epsdt
Other000000048519KY · Anthem
Other611071677Federal Tax Id
OtherP00059060KY · Rr Medicare Ptan
Other2272760First Health Ins. Co

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roger D. Fannin O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113916453
PECOS Enrollment IDI20040511000730
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
82 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services42 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
30 services15 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
29 services16 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
313 S CAROL MALONE BLVD
GRAYSON, KY 41143
Optometrist
313 S CAROL MALONE BLVD
GRAYSON, KY 41143
Optometrist
313 S CAROL MALONE BLVD
GRAYSON, KY 41143
Hearing Aid Equipment
313 S CAROL MALONE BLVD
GRAYSON, KY 41143

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 Fannin's NPI number?

The NPI number for Roger Fannin is 1407857766. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Roger Fannin located?

Roger Fannin practices at 313 S Carol Malone Blvd, Grayson, KY 41143. The listed phone number is (606) 474-7833.

What is Roger Fannin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Roger Fannin enrolled in Medicare?

Yes. Roger Fannin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roger Fannin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Roger Fannin 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 Fannin 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.