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General NPI Number Information
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NPI Number | 1053743781
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Entity Type | Organization
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Legal Business Name | ROGERS FAMILY EYE CARE, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 1000 HIGHLAND COLONY PKWY STE 9007
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City | RIDGELAND
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State | MS
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Zip | 39157-2083
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Country | US
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Telephone | 601-957-6078
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Fax | 601-957-6924
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Provider Business Mailing Address
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Address Line | 1000 HIGHLAND COLONY PKWY STE 9007
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City | RIDGELAND
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State | MS
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Zip | 39157-2083
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Country | US
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Telephone | 601-957-6078
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Fax | 601-957-6924
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | DR. BRITTANY NICOLE ROGERS
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Credential | OD
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Telephone | 662-587-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 875
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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