Individual
DR. RONALD ALLEN BRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4424 W WENDOVER AVE, GREENSBORO, NC 27407-2600
(336) 218-1188
(336) 292-3167
Mailing address
3505 BURNLEY DR, CLEMMONS, NC 27012-8632
(336) 766-6680
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1384
NC
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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