| Bradley S. Drake, Pc | |
|
697 Highway 31 Nw, Suite 41, Hartselle, AL 35640-4408 | |
| (256) 773-3997 | |
| (256) 773-3997 |
| Full Name | Bradley S. Drake, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 697 Highway 31 Nw, Hartselle, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407828379 | NPI | - | NPPES |
| 009937485 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S-A49-TA-629 (Alabama) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bradley S Drake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528048469 PECOS PAC ID: 1951344118 Enrollment ID: I20091110000460 |
| Provider Name | Lindsey Elmore Guyse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588243414 PECOS PAC ID: 7416341888 Enrollment ID: I20220301000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley S. Drake, Pc 697 Highway 31 Nw, Hartselle, AL 35640-4408 Ph: () - | Bradley S. Drake, Pc 697 Highway 31 Nw, Suite 41, Hartselle, AL 35640-4408 Ph: (256) 773-3997 |
Drake Eye Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 697 Highway 31 Nw, Hartselle, AL 35640 Phone: 256-773-3997 Fax: 256-773-8993 | |
Bradley Drake, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 697 Highway 31 Nw, Hartselle, AL 35640 Phone: 256-773-3997 Fax: 256-773-8993 | |
Lindsey Elmore Guyse, OD Optometrist Medicare: Medicare Enrolled Practice Location: 697 Highway 31 Nw, Hartselle, AL 35640 Phone: 256-773-3997 Fax: 256-773-8993 | |
Dr. Susan Maleia Persall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1098 Highway 31 Sw, Hartselle, AL 35640 Phone: 256-773-4418 Fax: 256-773-4422 |