DR TERRISA DRAKE OD PA (NPI# 1164897401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164897401 |
| Entity Type | Organization |
| Organization Name | DR TERRISA DRAKE OD PA |
| Other Organization Name | PREMIER EYECARE |
| Practice Address |
4215 S Loop 289 Lubbock TX 79423-1100 |
| Practice Telephone | 8065357052 |
| Mailing Telephone | 8065357052 |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |
| Authorized Official Name | DR. TERRISA J DRAKE (OPTOMETRIST) |
| Authorized Official Telephone | 8065357052 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5817TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 019142101 | 05 |
| Other Name | Type Code |
|---|---|
| Premier Eyecare | Doing Business As Name - Organization |
| Street Address |
4215 S LOOP 289 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568489706 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 4215 S Loop 289, Lubbock, TX 79423-1100 | 2006-07-16 |
| 1598366478 | Brandon Kyle Bailey | Pharmacist | 4215 S Loop 289, Lubbock, TX 79423-1100 | 2020-11-05 |
| 1912508276 | Thomas Ross Lawson | Pharmacist | 4215 S Loop 289, Lubbock, TX 79423-1100 | 2020-11-03 |
| 1528149994 | Wal-mart Stores Texas, Lp | Technician/Technologist | 4215 S Loop 289, Lubbock, TX 79423-1100 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1023513520 | Fadel Eye Group, LLC | Optometrist | 6002 Slide Rd Ste 68448, Lubbock, TX 79414-4341 | 2018-03-27 |
| 1053799825 | Karley Woodrich | Optometrist | 4015 84th St, Lubbock, TX 79423-1913 | 2015-05-13 |
| 1700294949 | Shabree Nicole Nichols-caleb | Optometrist | 6002 Slide Rd Spc G32, Lubbock, TX 79414-4310 | 2014-07-31 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1356782932 | Daniel & Max, LLC | Optometrist | 5031 50th St, Suite 1, Lubbock, TX 79414-3420 | 2013-07-11 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1407102320 | Darrin Odell Peterson | Optometrist | 411 University Ave, Lubbock, TX 79401-1600 | 2012-07-29 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1972801223 | Texas Tech University Health Sciences Center Lubbock | Optometrist | 4004 82nd St Bldg 200, Lubbock, TX 79423-1900 | 2011-03-10 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.