DR. PAUL E. ROBERTSON (NPI# 1396934485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396934485 |
| Entity Type | Individual |
| Full Name | DR. PAUL E. ROBERTSON |
| Credential | O.D. |
| Practice Address |
1302 Longview St Mayfield KY 42066-3137 |
| Practice Telephone | 2702475988 |
| Mailing Telephone | 2702475988 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1713DT | KY | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1713DT | KY | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1713DT | KY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687696 | Paul Andrew Robertson | Family Medicine | 825 Meadowsong Cir, Lawrenceville, GA 30043-4236 | 2013-05-28 |
| 1306838875 | Paul B Robertson | Nurse Anesthetist, Certified Registered | 6511 Springbook Ave, Rhinebeck, NY 12572 | 2005-08-19 |
| 1639175938 | Paul Alexander Robertson | Specialist | 4525 3rd Ave Se, Ste 200, Lacey, WA 98503-1010 | 2005-06-22 |
| 1326406398 | Paul Douglas Robertson | Counselor | 548 Se Jackson St, Roseburg, OR 97470-2709 | 2016-02-05 |
| 1770718298 | Paul Robertson | Dietitian, Registered | 350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213 | 2009-05-28 |
| 1083849715 | Paul Lamont Robertson | Dentist | 126 N 10th St, Fort Dodge, IA 50501-3915 | 2009-05-26 |
| 1467462440 | Paul A. Robertson | Nurse Anesthetist, Certified Registered | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-08-09 |
| Street Address |
1302 LONGVIEW ST |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932316890 | Robert F. Brooks, O.d., P.s.c. | Optometrist | 1621 Ashland Rd, Unit 3, Greenup, KY 41144-1207 | 2007-05-17 |
| 1942252820 | Jennifer D Wood | Optometrist | 120 N Eagle Creek Dr, Suite 500, Lexington, KY 40509-1827 | 2006-05-17 |
| 1619949971 | Retina and Vitreous Associates of Kentucky Psc | Optometrist | 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 | 2006-02-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.