Search › Arkansas › 156FX1800X
Mickey Drake, OPTICIAN
NPI 1053643817 · on the registry since 2010
Practice
- Address
- 111 Ponderosa Ln
Suite H
Hot Springs Village, AR 71909 - Phone
- (501) 984-5955
- Fax
- (501) 984-5955
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Also registered as
- 156FX1800X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas