Individual
BRADLEY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
697 HIGHWAY 31 NW, HARTSELLE, AL 35640-4408
(256) 773-3997
(256) 773-8993
Mailing address
697 HIGHWAY 31 NW, HARTSELLE, AL 35640-2849
(256) 773-3997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA49TA629
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937485
—
AL
Enumeration date
01/18/2006
Last updated
05/10/2021
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