<Unavail>

LBN: Dr Terrisa Drake Od Pa
<Unavail> is an health care organization with primary practice located at 4215 S Loop 289 , Lubbock TX 79423-1100. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Terrisa Drake Od Pa can be contacted via phone (806) 535-7052, or through Drake, Terrisa J via phone (806) 535-7052.

Contact Information

Primary practice address
4215 S Loop 289 Lubbock TX 79423-1100
Phone: (806) 535-7052
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drake, Terrisa J Doctor of Optometry (OD)
Phone: (806) 535-7052

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5817TG Texas

Profile Details

NPI number 1164897401
LBN Legal business name Dr Terrisa Drake Od Pa
DBA Doing business as <Unavail>
Authorized official Drake, Terrisa J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2015
Last updated Dec 12th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164897401 NPPES
Texas MEDICAID 019142101

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