MEDICARE: DR. ERIC FRANKLIN RODGERS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1230	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	90771	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5468350	OTHER	NC	ATENA

General Provider Information

NPI Number	:	1780773234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC FRANKLIN RODGERS O.D.

Provider Business Mailing Address
First Line	:	598 AIRPORT BLVD
Second Line	:	STE 700
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7205
Country	:	US
Telephone Number	:	919-732-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	320S CHURTON ST
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-2509
Country	:	US
Telephone Number	:	919-732-5000
Fax Number	:	919-732-6855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	02/10/2017

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