Active NPI
Stuart Douglas Rogers, O.D.
- Optometrist
- Henderson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODT857
- Practice address
- 124 N Washington Ave
Henderson, TN 38340-1800 - Phone
- (731) 989-2711
- Fax
- (731) 989-2778
- NPI assigned
- Apr 3, 2006
- Last updated
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODT857 | TN | Primary |
Addresses
Primary practice location
124 N Washington Ave
Henderson, TN 38340-1800
Mailing address
124 N Washington Ave
P.O. Box 159
Henderson, TN 38340-1800
Phone (731) 989-2711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3596038 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000385 | TN | Practitioner - Optometry | 0345364089 | Practice locations: Henderson, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
124 N Washington Ave
Henderson, TN 38340-0159
Phone (731) 989-2711
124 N Washington Ave
Henderson, TN 38340-1800
P O Box
Suite 159
Henderson, TN 38340-0159
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stuart D Rogers, OD | Optometrist | Current | Accepting new patients |
Locations
124 N Washington Ave
Henderson, TN 38340
Phone (731) 989-2711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1811959265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N WASHINGTON AVE",
"address_2": "P.O. BOX 159",
"city": "HENDERSON",
"state": "TN",
"postal_code": "383401800",
"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": {
"last_name": "ROGERS",
"first_name": "STUART",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "ODT857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3596038",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.