Healthcare Provider Details
I. General information
NPI: 1699661496
Provider Name (Legal Business Name): DRAKE EYE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2941 POINT MALLARD PKWY SE STE F
DECATUR AL
35603-5760
US
IV. Provider business mailing address
2941 POINT MALLARD PKWY SE STE F
DECATUR AL
35603-5760
US
V. Phone/Fax
- Phone: 256-257-3877
- Fax: 256-257-3878
- Phone: 256-257-3877
- Fax: 256-257-3878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABRINA
STANDRIDGE
Title or Position: CREDENTIALING
Credential:
Phone: 256-773-3997