Provider Demographics
NPI:1780773234
Name:RODGERS, ERIC FRANKLIN (OD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FRANKLIN
Last Name:RODGERS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 AIRPORT BLVD
Mailing Address - Street 2:STE 700
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7205
Mailing Address - Country:US
Mailing Address - Phone:919-732-5000
Mailing Address - Fax:
Practice Address - Street 1:320S CHURTON ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2509
Practice Address - Country:US
Practice Address - Phone:919-732-5000
Practice Address - Fax:919-732-6855
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1230152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC90771OtherBCBS
NC7909771Medicaid
NC5468350OtherATENA
NC7909771Medicaid
NCT65053Medicare UPIN
NC1720256548Medicare NSC