Eric Dennis Drake, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6162362-9934 Issued in UT

Practice address

965 E 700 S Ste 100
Saint George, UT 84790-4084

Phone

(435) 673-5577

NPI assigned

Jul 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul R Gooch OD and Associates PCGroup PAC ID 5799843488, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul R Gooch OD & Associates, PC

  • Optometrist
  • St George, UT
  • NPI 1730382433
  Medicare reassignment Care Compare group NPD
• Shane R Jensen

  • Optometrist
  • Panguitch, UT
  • NPI 1548459068
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1316293368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E 700 S",
            "address_2": "STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904084",
            "telephone_number": "435-619-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E 700 S STE 100",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904084",
            "telephone_number": "435-673-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ERIC",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6162362-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Marc L Lyman P.C.
• Dr Michael R Green PC
• Dr. Michael K Hobson
• Drake Partnership Alliance LLC
• Derick Wood Drake
• Taylor Michael Drake, MD
• Corinne W Draper, M.S., LMFT
• Johana Draper
• Katlynd Draper
• Alan Michael Dressler, IMFT

• Optometrist in Saint George, UT
• Providers in Saint George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.