Organization
RONALD A. BRAKE,O.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ALLEN BRAKE O.D. (PRESIDENT)
(336) 766-6680
Entity
Organization
Contact information
Practice address
611 COLISEUM DR, SUITE B, WINSTON SALEM, NC 27106-5310
(336) 397-0768
Mailing address
3505 BURNLEY DR, CLEMMONS, NC 27012-8632
(336) 766-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1384
NC
152WC0802X
Corneal and Contact Management Optometrist
1384
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174747851
—
NC
Enumeration date
01/20/2015
Last updated
01/20/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up