Individual
DR. ROBERT BURLIEN DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2625 NASHVILLE RD STE 101, BOWLING GREEN, KY 42101-4098
(270) 781-3937
(270) 783-3435
Mailing address
760 CAMPBELL LN, SUITE 120, BOWLING GREEN, KY 42104-1085
(270) 781-3937
(270) 783-3435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1314DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013142
—
KY
01
—
800001
INDIVIDUAL MEDICARE PTAN FOR PRECISION EYE CARE
KY
Enumeration date
01/18/2007
Last updated
01/14/2021
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