MR. Mickey Lee Drake I, OPTICIAN
NPI #1053643817 in Hot Springs Village, Arkansas
Provider Information
- NPI Number
- 1053643817
- Entity Type
- Individual
- Name
- MR. Mickey Lee Drake I, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Feb 4, 2010
- Last Updated
- Feb 4, 2010
Practice Location
- Address
- 111 PONDEROSA LN
- Address 2
- SUITE H
- State
- Arkansas
- ZIP Code
- 71909-5018
- Phone
- (501) 984-5955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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