Active NPI
Stuart D Rogers, OD
- Eyewear Supplier
- Henderson, TN
National Provider Identifier
1063690733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- ODT857
- Legal business name
- STUART D ROGERS, OD
- Practice address
- 124 N Washington Ave
Henderson, TN 38340-1800 - Phone
- (731) 989-2711
- Fax
- (731) 989-2778
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart D Rogers, O.D.
- Title
- Owner
- Phone
- (731) 989-2711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | ODT857 | TN | Primary |
Addresses
Primary practice location
124 N Washington Ave
Henderson, TN 38340-1800
Mailing address
PO Box 159
Henderson, TN 38340-0159
Phone (731) 989-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930044713 | TN | DME Supplier - Physician - Optometrist | 4981721826 | Practice locations: Henderson, TN |
National Provider Directory
National Provider DirectoryLocations
124 N Washington Ave
Henderson, TN 38340
Phone (731) 989-2711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Henderson, TN
- NPI 1811959265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1063690733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "HENDERSON",
"state": "TN",
"postal_code": "383400159",
"telephone_number": "731-989-2711",
"fax_number": "731-989-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N WASHINGTON AVE",
"city": "HENDERSON",
"state": "TN",
"postal_code": "383401800",
"telephone_number": "731-989-2711",
"fax_number": "731-989-2778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART D ROGERS, OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-989-2711",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TN",
"license": "ODT857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TN
- Rylee Claire Smith, PA-C
- Southwest Human Resource Agency (Office of Public Transportation)
- Southwest Human Resource Agency
- State of Tennessee (Chester County Health Department)
- Deryl Lynn Stewart, PHARM.D.
- Scott Summars, NP-C
- Andrea Talbott, CPHT
- Haley Nicole Taylor-Phillips
- Tierra Thaxton, BA
- The Grove Primary Care Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.