Organization Active NPI

DRS Duvall Tade and Associates

  • Optometrist
  • Bowling Green, KY
National Provider Identifier
1811030075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KY1314 Issued in KY
Legal business name
DRS DUVALL TADE AND ASSOCIATES
Practice address
2625 Scottsville Rd Ste 324
Bowling Green, KY 42104-6379
Phone
(270) 846-0131
Fax
(270) 846-2231
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Burlien Duvall, ODNPI 1548312481
Title
Doctor
Phone
(270) 846-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X KY1314 KY Primary

Addresses

Primary practice location

2625 Scottsville Rd Ste 324
Bowling Green, KY 42104-6379

Mailing address

2625 Scottsville Rd Ste 324
Bowling Green, KY 42104-6379
Phone (270) 846-0131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811030075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 SCOTTSVILLE RD STE 324",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046379",
            "telephone_number": "270-846-0131",
            "fax_number": "270-846-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SCOTTSVILLE RD STE 324",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046379",
            "telephone_number": "270-846-0131",
            "fax_number": "270-846-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DUVALL TADE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BURLIEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "270-846-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.