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Deactivated NPI 1063558989 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Hogan , OD

Optometrist • Orange Park, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Hogan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2007
NPI Deactivation Date April 19, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Hogan, OD was a registered Optometrist practicing in Orange Park, FL. Throughout an active medical career spanning 15 years, Dr. Hogan provided care at the practice location at 88 BLANDING BLVD until profile deactivation on 2022-04-19.

Practice Location & Contact Primary Location

Practice Address

88 Blanding Blvd

Orange Park, FL 320732601

Telephone 9042729433
Fax 9042729434
Associated Practice Facility / Clinic
🏢 Luxottica Of America Inc. Facility NPI 1972682789

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Orange Park, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC 1094

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1356434336

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 19, 2022

Record deactivated on April 19, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 88 BLANDING BLVD, ORANGE PARK, FL 320732601 (Tel: 9042729433)

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Updated Business Mailing Address July 08, 2007

Registered at 3969 ARBOR BLUFF LN E, JACKSONVILLE, FL 322251654 (Tel: 9046420185)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER HOGAN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OPC 1094 in FL)

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Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063558989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: July 08, 2007
Deactivation Date: April 19, 2022

Mailing Address

3969 Arbor Bluff Ln E

Jacksonville, FL 322251654

Phone: 9046420185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.