RONALD A. BRAKE,O.D.,P.A. (NPI# 1982093563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982093563 |
| Entity Type | Organization |
| Organization Name | RONALD A. BRAKE,O.D.,P.A. |
| Practice Address |
611 Coliseum Dr Suite B Winston Salem NC 27106-5310 |
| Mailing Address |
3505 Burnley Dr Clemmons NC 27012-8632 |
| Practice Telephone | 3363970768 |
| Mailing Telephone | 3367666680 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | DR. RONALD ALLEN BRAKE (PRESIDENT) |
| Authorized Official Telephone | 3367666680 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1384 | NC | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1384 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1174747851 | 05 |
| Street Address |
611 COLISEUM DR SUITE B |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770840514 | Coliseum Eyewear | Eyewear Supplier (Equipment, not the service) | 611 Coliseum Dr, Winston Salem, NC 27106-5310 | 2012-04-18 |
| 1295129773 | Sharhonda Bell Harrill | Optometrist | 611 Coliseum Dr, Winston Salem, NC 27106-5310 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| 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 |
|---|---|---|---|---|
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1962928556 | Camel City Optometric, P.a. | Optometrist | 604 N Trade St, Winston Salem, NC 27101-2917 | 2017-08-16 |
| 1386027159 | Paul Keith Biggs | Optometrist | 3073 Trenwest Dr # 315, Winston Salem, NC 27103-3207 | 2015-06-29 |
| 1487063400 | Andrew Bradbury | Optometrist | 120 Reynolda Vlg Ste B, Winston Salem, NC 27106-5144 | 2014-08-04 |
| 1225344146 | Lisa Harp Mcallister | Optometrist | 2596 Reynolda Rd Ste A, Winston Salem, NC 27106-4651 | 2010-08-30 |
| 1376865188 | James Kent Doub Od Pa | Optometrist | 2804 Reynolda Rd, Winston Salem, NC 27106-3102 | 2010-02-20 |
| 1558586768 | Jennifer Elizabeth Flaherty | Optometrist | 725 Highland Oaks Dr Ste 101, Winston Salem, NC 27103-7109 | 2007-04-13 |
| 1093837916 | Terry L. Davis | Optometrist | 8013 N Point Blvd, Winston Salem, NC 27106-3203 | 2007-04-03 |
| 1821153230 | Jillian I Okeefe | Optometrist | 302 S Stratford Rd Ste B, Winston Salem, NC 27103-1856 | 2006-12-26 |
| 1508926114 | Winston Salem Optometric Group Pa | Optometrist | 302 South Stratford Road, Winston Salem, NC 27103 | 2006-12-12 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on RONALD A. BRAKE,O.D.,P.A..
| 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.