Provider Demographics
NPI:1871018382
Name:RODGERS, LOREN KATHRYN (OD)
Entity type:Individual
Prefix:DR
First Name:LOREN
Middle Name:KATHRYN
Last Name:RODGERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LOREN
Other - Middle Name:KATHRYN
Other - Last Name:FRANKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1365 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2821
Mailing Address - Country:US
Mailing Address - Phone:210-861-2011
Mailing Address - Fax:
Practice Address - Street 1:1365 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2821
Practice Address - Country:US
Practice Address - Phone:210-861-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9411TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist