Terrisa Jo Drake in San Antonio - Sports Vision
Terrisa Jo Drake - NPI 1134275761
Terrisa Jo Drake is a Sports Vision in San Antonio, Texas. Terrisa Jo Drake practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Terrisa Jo Drake is 1134275761. The last update date is 2019-02-19.
Terrisa Jo Drake's current location address is 1706 Sw Loop 410 Ste 102, San Antonio, Texas. You can contact this provider via phone number 7269993632 and fax number 7269993633. The mailing address for Terrisa Jo Drake is 1706 Sw Loop 410 Ste 102, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terrisa Jo Drake |
|---|---|
| Address | 1706 Sw Loop 410 Ste 102, San Antonio, Texas |
| Phone Number | 7269993632 |
| Fax Number | 7269993633 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1134275761 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2019-02-19 |
Provider Mailing Address Detail
| Address | 1706 Sw Loop 410 Ste 102 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782271676 |
| Phone Number | 7269993632 |
| Fax Number | 7269993633 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 5817TG |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 488959ZUNK | TX | MEDICARE GROUP MEMBER PROVIDER | |
| 1134275761 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Terrisa Jo Drake by the Centers for Medicare & Medicaid Services?
The Terrisa Jo Drake has been assigned the NPI (National Provider Identifier) 1134275761 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Terrisa Jo Drake?
The Terrisa Jo Drake is physically situated at 1706 Sw Loop 410 Ste 102, in the city of San Antonio, state of TX, with the postal code 782271676.
What is Terrisa Jo Drake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terrisa Jo Drake is Sports Vision, and the taxonomy code that categorizes this field of expertise is 152Ws0006X.
When did the Terrisa Jo Drake receive its 1134275761?
The Terrisa Jo Drake was issued its 1134275761 on 2007-01-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Terrisa Jo Drake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Terrisa Jo Drake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-19.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA