Organization
BRADLEY S. DRAKE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD DRAKE O.D. (PRESIDENT)
(256) 773-3997
Entity
Organization
Contact information
Practice address
697 HIGHWAY 31 NW, SUITE 41, HARTSELLE, AL 35640-4408
(256) 773-3997
(256) 773-3997
Mailing address
697 HIGHWAY 31 NW, HARTSELLE, AL 35640-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
S-A49-TA-629
AL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937485
—
AL
Enumeration date
02/06/2006
Last updated
02/01/2023
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