Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK JAMES DAKE, OD
Active Sole ProprietorDR. DEREK JAMES DAKE, OD is a Optometrist healthcare provider located in NEWBERRY, Michigan. NPI 1740766716 is currently active in the NPPES registry. Verify at CMS.
Optometrist · NEWBERRY, MI
Registration Details
- NPI Number
- 1740766716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2018 (8.1035804541809 yrs)
- Last Updated
- Jul 12, 2018
- License
-
4901005127 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 W HARRIE STNEWBERRY, MI, 498681200Browse MI providers · Browse ZIP 49868
- Phone
- 9062912015
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in NEWBERRY, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DALE W MUTH | O.D. | 1659380293 |
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.