Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICKEY LEE DRAKE I, OPTICIAN
ActiveMR. MICKEY LEE DRAKE I, OPTICIAN is a Optician, Dispensing healthcare provider located in HOT SPRINGS VILLAGE, Arkansas. NPI 1053643817 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HOT SPRINGS VILLAGE, AR
Registration Details
- NPI Number
- 1053643817
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2010 (16.486707860017 yrs)
- Last Updated
- Feb 4, 2010
- Licenses
-
L-981101 (AR)L-030454 (AR)
Practice Information
- Address
-
111 PONDEROSA LNSUITE HHOT SPRINGS VILLAGE, AR, 719095018Browse AR providers · Browse ZIP 71909
- Phone
- 5019845955
- Fax
- 5019845955
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.