Roger D Mayo, L.D.O

Primary specialty

OpticianTaxonomy code 156FX1800X

License

409 Issued in TN

Practice address

6940 Lee Hwy
Suite 108
Chattanooga, TN 37421-2490

Phone

(423) 892-4900

Fax

(423) 855-1496

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548367337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 LEE HWY",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212490",
            "telephone_number": "423-892-4900",
            "fax_number": "423-855-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 LEE HWY",
            "address_2": "SUITE 108",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212490",
            "telephone_number": "423-892-4900",
            "fax_number": "423-855-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "ROGER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "L.D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "2001691",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Stephen Mayes, PA
• Seth Mayfield, PA
• Linda P Maynard, M.A.
• Nicholaus Brendon Maynard, APRN, PMHNP
• Heather Mayo, FNP-C
• Shay Mayo
• Katrina Mazza
• Jennifer L Mazzei, MA, SPE
• Joe Michael Mazzolini, MD
• Robert Vaughn McAlister II

• All providers in Chattanooga, TN
• Optician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.