Organization
ENID EYE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R ROGERS M.D. (SURGEON)
(580) 233-4711
Entity
Organization
Contact information
Practice address
615 E OKLAHOMA AVE, SUITE 101, ENID, OK 73701-5951
(580) 233-4711
(580) 234-6686
Mailing address
615 E OKLAHOMA AVE, SUITE 101, ENID, OK 73701-5951
(580) 233-4711
(580) 234-6686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0748750001
CIGNA DMERC
OK
05
—
100729900A
—
OK
01
—
442347685001
BLUE CROSS BLUE SHIELD
OK
01
—
CJ2331
RAILROAD MEDICARE
OK
Enumeration date
02/21/2007
Last updated
03/09/2011
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