Dr Terrisa Drake OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5817TG Issued in TX

Legal business name

DR TERRISA DRAKE OD PA

Doing business as

Premier Eyecare

Practice address

4215 S Loop 289
Lubbock, TX 79423-1100

Phone

(806) 535-7052

NPI assigned

Dec 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terrisa J Drake, O.D.

Title

Optometrist

Phone

(806) 535-7052

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Eyecare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449878400000",
    "number": "1164897401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231100",
            "telephone_number": "806-535-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231100",
            "telephone_number": "806-535-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TERRISA DRAKE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2015-12-12",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "TERRISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "806-535-7052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5817TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019142101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanna Douma, RBT
• Dovetail Physical Therapy and Wellness PLLC
• Nancy Linda Downey, RDLD
• Daniel Lee Downing, R.PH.
• Dr Gerald W Pennie
• Dr. David Rosenthal, LPC, PLLC
• Dr. Nicole Black, PHD, LPC-S, LCDC, RPT PLLC
• Dr. Rick Housewright
• Dr. Robert L. Ordonez M.D. P.a.
• Dr.Sutter & Dr.Phan

• Optometrist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.