Robert Burlien Duvall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1314DT Issued in KY

Practice address

2625 Nashville Rd Ste 101
Bowling Green, KY 42101-4098

Phone

(270) 781-3937

Fax

(270) 783-3435

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Eye Care Professionals PLLCGroup PAC ID 2466512033, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precision Eye Care Professionals PLLC

  • Optometrist
  • Bowling Green, KY
  • NPI 1831350164
  Medicare reassignment Care Compare group NPD Authorized official
• DRS Duvall Tade and Associates

  • Optometrist
  • Bowling Green, KY
  • NPI 1811030075
  NPD (past) Authorized official
• Cool Springs Eyecare, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1104968817
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1548312481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CAMPBELL LN",
            "address_2": "SUITE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041085",
            "telephone_number": "270-781-3937",
            "fax_number": "270-783-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 NASHVILLE RD STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014098",
            "telephone_number": "270-781-3937",
            "fax_number": "270-783-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "ROBERT",
        "middle_name": "BURLIEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1314DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN FOR PRECISION EYE CARE",
            "identifier": "800001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013142",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Dunn, LDO
• Destiny Dunn
• Joshua Quinn Dunn, DPT
• Meca Ann Dunn
• Katherine Huber Durnen, M.D.
• Georgia Lea Dye, MAE, DI
• Malea Dye
• Madison Pardue Dyer
• Oceanna Dykes
• E & O Transportation LLC

• Optometrist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.