Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ronald A. Brake, OD, PA

Organization Optometrist · NPI 1982093563

Ronald A. Brake, OD, PA is an Optometrist in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 Coliseum Dr Ste B
Winston Salem, NC 27106-5310
Phone: (336) 397-0768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1384 (NC)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 1384 (NC)

Record details

NPI number1982093563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Brake — President · (336) 766-6680
NPI enumeratedJanuary 20, 2015
Last updated in NPPESJanuary 20, 2015
Mailing address3505 Burnley Dr, Clemmons, NC 27012-8632

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