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Bradley Drake, O.D.

Optometrist in Hartselle, AL. Individual provider (NPI-1).

NPI number1528048469
StatusActive
Last updated in NPPESMay 10, 2021

Details

NPI
1528048469
Entity type
Individual (NPI-1)
Name
Bradley Drake
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 18, 2006
Certification date
May 10, 2021
Last updated
May 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristSA49TA629ALYes

Practice location

697 Highway 31 Nw
Hartselle, AL 35640-4408

Phone 256-773-3997 · Fax 256-773-8993

Mailing address

697 Highway 31 Nw
Hartselle, AL 35640-2849

Phone 256-773-3997

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Other Optometrist providers in Hartselle, AL

All 5 Optometrist providers in Hartselle · All 247 providers in Hartselle

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