Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roger D. Fannin, OD

Individual provider Eyewear Supplier · NPI 1407857766

Dr. Roger D. Fannin, OD is an Optometry in Grayson, Kentucky. Graduated from University Alabama Birmingham - School of Optometry in 1983, 43 years ago. Practices with Roger D Fannin OD PSC, a 2-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
43
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
KY
In the registry since
2005
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

313 S Carol Malone Blvd
Grayson, KY 41143-1357
Phone: (606) 474-7833
Fax: (606) 474-3563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1018DT (KY)
Eyewear Supplier Taxonomy 332H00000X · Licence KY1018DT (KY)

Record details

NPI number1407857766
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 9, 2005
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 1983 (43 years in practice)
Group practice Roger D Fannin Od Psc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount