Terrisa J Drake (NPI# 1134275761, PAC ID# 2668413410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134275761 |
| PAC ID by PECOS | 2668413410 |
| Professional Enrollment ID | I20050521000088 |
| Full Name | Terrisa J Drake |
| Organization Legal Name | DR TERRISA DRAKE OD PA |
| Address |
4215 S Loop Suite 289 Lubbock TX 79423-1100 |
| Phone Number | 8887460514 |
| Gender | F |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4981903416 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4215 S Loop, Suite 289, Lubbock, TX 79423-1100 | 8887460514 | DR TERRISA DRAKE OD PA |
| 4215 S Loop, Lubbock, TX 79423-1100 | 8887460514 | DR TERRISA DRAKE OD PA |
| Organization Legal Name | DR TERRISA DRAKE OD PA |
| Physicians | 1 |
| Street Address |
4215 S LOOP SUITE 289 |
| City | LUBBOCK |
| State | TX |
| Zip | 79423-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandy H Hitt | Physical Therapy | Physical Therapy Today of Lubbock Lp | 2431 S Loop, Lubbock, TX 79423 |
| Melissa Boyken | Physical Therapy | Physical Therapy Today of Lubbock Lp | 2431 S Loop, Suite 289, Lubbock, TX 79423 |
| Wenona Y Andress | Clinical Social Worker | 3403 73rd St, Suite 7, Lubbock, TX 79423-1101 | |
| Josh R Nelson | Chiropractic | 3402 73rd St, Unit G, Lubbock, TX 79423-1122 | |
| Natalia Jackson | Clinical Social Worker | 7212 Joliet Ave, Suite 10, Lubbock, TX 79423-1123 | |
| Michael R Macadams | Endocrinology | 2716 82nd St, Lubbock, TX 79423-1428 | |
| Emily Flathouse | Nurse Practitioner | Umc Physicians | 2703 82nd St, Lubbock, TX 79423-1429 |
| Jennifer Siegel | Nurse Practitioner | Umc Physicians | 2703 82nd St, Lubbock, TX 79423-1429 |
| Ramoncito Bernardo | Nurse Practitioner | Umc Physicians | 2703 82nd St, Lubbock, TX 79423-1429 |
| Kristen Grace Leake | Nurse Practitioner | Umc Physicians | 2703 82nd St, Lubbock, TX 79423-1429 |
| Find all physicians in zip 79423 | |||
| City | LUBBOCK |
| Zip Code | 79423 |
| Specialty | OPTOMETRY |
| City + Specialty | LUBBOCK + OPTOMETRY |
Please comment or provide details below to improve the information on Terrisa J Drake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.