DR. RONALD ALLEN BRAKE (NPI# 1174747851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174747851 |
| Entity Type | Individual |
| Full Name | DR. RONALD ALLEN BRAKE |
| Credential | O.D. |
| Practice Address |
4424 W Wendover Ave Greensboro NC 27407-2600 |
| Mailing Address |
3505 Burnley Dr Clemmons NC 27012-8632 |
| Practice Telephone | 3362181188 |
| Practice Fax Number | 3362923167 |
| Mailing Telephone | 3367666680 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1384 | NC | Eye and Vision Services Providers |
| Street Address |
4424 W WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811944283 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2006-05-30 |
| 1841736881 | Christian Buettner | Pharmacist | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2017-01-15 |
| 1649628918 | William Holshouser | Pharmacist | 4424 W Wendover Ave, Walmart Pharmacy, Greensboro, NC 27407 | 2016-05-27 |
| 1962806471 | Lurline Keyser | Pharmacist | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2014-10-13 |
| 1053713974 | Joseph Pedaline | Pharmacist | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2014-09-23 |
| 1669872941 | Wal-mart | Pharmacy | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2014-08-24 |
| 1174932214 | Hongmei Xue | Pharmacist | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2014-08-02 |
| 1760409924 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4424 W Wendover Ave, Greensboro, NC 27407-2600 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295132520 | Jingya Jeanne Chen | Optometrist | 1600 Highwoods Blvd, Greensboro, NC 27410-2048 | 2014-12-02 |
| 1386866762 | Tunnel Road Optometry Group | Optometrist | 3702 W Gate City Blvd, Advanced Eye Care, Greensboro, NC 27407-4628 | 2007-05-03 |
| 1467472290 | Susan Yee | Optometrist | 3702 High Point Rd, Greensboro, NC 27407-4628 | 2006-07-21 |
| 1851555379 | Jean Suzanne Parker | Optometrist | 719 Green Valley Rd, Suite 105, Greensboro, NC 27408-7014 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528313301 | Bunich Optometric Clinic Pllc | Optometrist | 1820 East Blvd., Charlotte, NC 28203 | 2012-07-18 |
| 1972868420 | Advance Eyecare Associates, O.d., P.a. | Optometrist | 15235 John J Delaney Dr Ste H, Charlotte, NC 28277-2959 | 2012-07-11 |
| 1306083803 | Ahoskie Eye Care Od Pa Dba Windsor Eye Care | Optometrist | 106 N King Street, Windsor, NC 27983-6863 | 2009-01-21 |
| 1104018134 | Professional Eye Associates Optometry,p.a. | Optometrist | 8821 Six Forks Road, Raleigh, NC 27614 | 2007-08-14 |
| 1902007131 | Hiten P Prajapati | Optometrist | 1101 Shiloh Glenn Dr, Morrisville, NC 27560-5419 | 2007-05-28 |
| 1689896003 | Davis Eye Associates Od, Pa | Optometrist | 4514 Oleander Dr, Family Vision Clinic, Wilmington, NC 28403-5012 | 2007-05-03 |
| 1083834931 | Samuel Huntington Templeman IIi | Optometrist | 214 Church St Nw, Lenoir, NC 28645-5117 | 2007-04-25 |
| 1255491528 | Knightdale Eyecare Optometric, P.a. | Optometrist | 742 Mcknight Dr, Suite 100, Knightdale, NC 27545-7764 | 2006-12-09 |
| 1780798827 | Leslie M Anderson Od Pa | Optometrist | 11235 Lawyers Rd, Charlotte, NC 28227-9355 | 2006-08-18 |
| 1205859832 | Roger Glen Davis | Optometrist | 235 Harvey St, Winston Salem, NC 27103-1741 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.