Organization Active NPI

Rogers Eye Care Inc

  • Optometrist
  • Adamsville, AL
National Provider Identifier
1497962930
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S822TA077 Issued in AL
Legal business name
ROGERS EYE CARE INC
Practice address
3931 Veterans Memorial Dr
Adamsville, AL 35005-2261
Phone
(205) 674-5002
Fax
(205) 674-5009
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter Benton Rogers, O.D.NPI 1104883032
Title
Owner
Phone
(205) 674-5002

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S822TA077 AL Primary

Addresses

Primary practice location

3931 Veterans Memorial Dr
Adamsville, AL 35005-2261

Mailing address

3931 Veterans Memorial Dr
Adamsville, AL 35005-2261
Phone (205) 674-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001325 AL Part B Supplier - Clinic/Group Practice 4385637271 Receives reassigned benefits from 1 practitioner
Practice locations: Adamsville, AL

National Provider Directory

National Provider Directory

Locations

3931 Veterans Memorial Dr
Adamsville, AL 35005
Phone (205) 674-5002

1801 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1497962930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 VETERANS MEMORIAL DR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052261",
            "telephone_number": "205-674-5002",
            "fax_number": "205-674-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 VETERANS MEMORIAL DR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052261",
            "telephone_number": "205-674-5002",
            "fax_number": "205-674-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-674-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S822TA077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.

Verify at the official NPI Registry.