Larry Morgan Rodgers, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-617-TA-320 Issued in AL

Practice address

5757A Atlanta Hwy
Montgomery, AL 36117-2150

Phone

(334) 271-3405

Fax

(334) 277-3016

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1851467872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757A ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172150",
            "telephone_number": "334-271-3405",
            "fax_number": "334-277-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757A ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172150",
            "telephone_number": "334-271-3405",
            "fax_number": "334-277-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "LARRY",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-617-TA-320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51033649",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51058051",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51098555",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058051",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martine Rocker
• Mia Rochelle Rocker, OTR/L
• Bryce Leon Rockman, CRNA
• Victoria Roddam
• Gerry Rodgers, PT
• Laurie T Rodgers, PT
• Zaria Rodgers
• Robert Francis Rodopoulos, OCCUPATIONAL THERAPY
• Malcolm E Roebuck Jr., MD
• Christina Marie Rogers, CRNA

• Optometrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.