IndividualActive
Ronald Brake, O.D.
NPI 1174747851 · Corneal and Contact Management Optometrist · Greensboro, NC
Provider details
- NPI number
- 1174747851
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1384 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4424 W Wendover Ave
Greensboro, NC 27407-2600
Phone: (336) 218-1188
Fax: (336) 292-3167
Approximate (ZIP-level) locationGet directions
Mailing address
3505 Burnley Dr
Clemmons, NC 27012-8632
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.