Individual
DR. LARRY MORGAN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
5757A ATLANTA HWY, MONTGOMERY, AL 36117-2150
(334) 271-3405
(334) 277-3016
Mailing address
5757A ATLANTA HWY, MONTGOMERY, AL 36117-2150
(334) 271-3405
(334) 277-3016
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-617-TA-320
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058051
—
AL
01
—
51033649
BLUE CROSS BLUE SHIELD
AL
01
—
51058051
BLUE CROSS BLUE SHIELD
AL
01
—
51098555
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/28/2006
Last updated
04/26/2013
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