Mr. Mickey Lee Drake I, OPTICIAN
Mr. Mickey Lee Drake I, OPTICIAN is an Optician in Hot Springs Village, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.
- Licensed in
- AR
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
111 Ponderosa Ln Ste HHot Springs Village, AR 71909-5018
Phone: (501) 984-5955
Fax: (501) 984-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence L-030454 (AR) |
|---|---|
| Optician | Taxonomy 156FX1800X · Licence L-981101 (AR) |
Record details
| NPI number | 1053643817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTICIAN |
| Sole proprietor | No |
| NPI enumerated | February 4, 2010 |
| Last updated in NPPES | February 4, 2010 |