Active NPI
DRS Duvall Tade and Associates
- Optometrist
- Bowling Green, KY
National Provider Identifier
1811030075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KY1314
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Burlien Duvall, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bowling Green, KY
- NPI 1548312481
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.