Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor
Dr. Roger D. Fannin, O.D.
Optometrist in Grayson, KY · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1407857766
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Registry record
Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77010189 | Medicaid | KY | - |
| 5965025 | Other | KY | AETNA |
| 45775780 | Other | KY | EPSDT |
| 000000048519 | Other | KY | ANTHEM |
| 611071677 | Other | - | FEDERAL TAX ID |
| P00059060 | Other | KY | RR MEDICARE PTAN |
| 2272760 | Other | - | FIRST HEALTH INS. CO |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
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Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-14.