Organization
OCULAR PROSTHETICS INC
Active
Other names
LaVon Drake Ocularist
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAVON H DRAKE (PRESIDENT OWNER)
(252) 531-3153
Entity
Organization
Contact information
Practice address
4557 TECHNOLOGY DR, #5, WILMINGTON, NC 28405-2145
(800) 579-6363
(800) 579-6363
Mailing address
6626 US HIGHWAY 264 E, WASHINGTON, NC 27889
(252) 946-7618
(252) 946-7618
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2629
—
SC
Enumeration date
02/13/2006
Last updated
08/22/2020
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