Individual
DR. ROBERT JOSEPH BASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1016 S MAIN ST, HOPKINSVILLE, KY 42240-2010
(270) 886-2293
(270) 886-0399
Mailing address
1016 S MAIN ST, HOPKINSVILLE, KY 42240-2010
(270) 886-2293
(270) 886-0399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1164DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049356
BC/BS
KY
05
—
77011641
—
KY
Enumeration date
10/25/2006
Last updated
06/19/2008
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