| NPI | 1831350164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BURLIEN DUVALL O PT Ometrist/Owner 270-781-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1314DT) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-06-20 |