Individual
DR. PAUL E. ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1302 LONGVIEW ST, MAYFIELD, KY 42066-3137
(270) 247-5988
Mailing address
1302 LONGVIEW ST, MAYFIELD, KY 42066-3137
(270) 247-5988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1713DT
KY
152WC0802X
Corneal and Contact Management Optometrist
1713DT
KY
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
1713DT
KY
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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