Individual
LISA DANIELLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3521 RICHLAND AVE, AIKEN, SC 29801-6311
(803) 642-4646
Mailing address
3521 RICHLAND AVE, AIKEN, SC 29801-6311
(803) 641-4646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20047639
SELECT HEALTH OF SC
SC
05
—
D10183
—
SC
Enumeration date
06/20/2006
Last updated
06/30/2026
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