MEDICARE: MARK E. ROGERS, O.D.,P.A.

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	332H00000X	Eyewear Supplier	OPC3049	FL
2	152W00000X	Optometrist	OPC3049	FL

General Provider Information

NPI Number	:	1518990159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK E. ROGERS, O.D.,P.A.

Provider Business Mailing Address
First Line	:	7154 N UNIVERSITY DR
Second Line	:	STE 103
City	:	TAMARAC
State	:	FL
Zip	:	33321-2916
Country	:	US
Telephone Number	:	954-234-4239
Fax Number	:

Provider Business Practice Location Address
First Line	:	5865 N UNIVERSITY DR
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-4617
Country	:	US
Telephone Number	:	954-234-4239
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK ELIOT ROGERS
Credential	:	O.D.
Telephone Number	:	954-234-4239

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/11/2025

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