Individual
DR. KEVIN A ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
18522 MAGNOLIA BRIDGE RD, SUITE A, GREENWELL SPRINGS, LA 70739-4662
(225) 261-6282
(225) 261-6012
Mailing address
18522 MAGNOLIA BRIDGE RD, SUITE A, GREENWELL SPRINGS, LA 70739-4662
(225) 261-6282
(225) 261-6012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1560-592T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309176
—
LA
Enumeration date
07/28/2008
Last updated
01/25/2012
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