DR. SUSAN LAKE (NPI# 1285687210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285687210 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LAKE |
| Credential | O.D. |
| Practice Address |
601 E Russell Ave Suite A Warrensburg MO 64093-9605 |
| Practice Telephone | 6607472020 |
| Practice Fax Number | 6607470574 |
| Mailing Telephone | 6607472020 |
| Mailing Fax Number | 6607470574 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
T03457 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1750586582 | Susan P. Lake | Speech-Language Pathologist | 518 Meadow Mountain Dr., 518 Meadow Mountain Dr., Allenspark, CO 80510-0012 | 2007-06-20 |
| 1962784488 | Susan Lake | Psychologist | 4150 Clement St, 116b, San Francisco, CA 94121-1545 | 2011-09-10 |
| 1366679664 | Susan D Lake | Registered Nurse | 281 Sawyer Dr, Suite 100, Durango, CO 81303-3409 | 2009-06-15 |
| 1306003835 | Susan E Lake | Family Medicine | 4550 N Hamilton Rd, Gahanna, OH 43230-1714 | 2008-05-21 |
| Street Address |
601 E RUSSELL AVE SUITE A |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730596248 | Eyecare Specialties of Missouri LLC | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | 2014-07-16 |
| 1255341939 | Quality Family Eyecare Associates | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093 | 2006-08-08 |
| 1629022777 | Jason S. Lake | Optometrist | 601 E Russell Ave, Warrensburg, MO 64093-9605 | 2006-05-22 |
| 1538113683 | Stephen A Cook | Optometrist | 601 E Russell Ave, Warrensburg, MO 64093-9605 | 2006-05-22 |
| 1619920576 | Lake and Lake Optometry PC | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681176 | Davidson Vision Therapy LLC | Optometrist | 12401 Olive Blvd Ste 206, Saint Louis, MO 63141-5448 | 2020-08-25 |
| 1790153948 | Troy L. Bell O.d. & Assoc PC | Optometrist | 2954 E Jackson Blvd, Jackson, MO 63755-2949 | 2015-09-04 |
| 1932371457 | Lisa B Dibler Od LLC | Optometrist | 171 Lamp and Lantern Village, Town and Country, MO 63017-8208 | 2008-03-25 |
| 1770508889 | David R Coleman | Optometrist | 1030 Se Murphy Blvd, Joplin, MO 64801-5043 | 2006-07-12 |
| 1215984224 | Justin Michael Schroeder | Optometrist | 400 Ward Ave, Caruthersville, MO 63830-1451 | 2006-05-27 |
| 1679527253 | Lisa B Dibler | Optometrist | 266 Lamp and Lantern Vlg, Chesterfield, MO 63017-8209 | 2006-05-19 |
| 1104302660 | Sneha Bagavandoss | Optometrist | 507 S Lincoln Ave, Union, MO 63084-2121 | 2018-07-17 |
| 1932330644 | David R Coleman Od LLC | Optometrist | 1030 Se Murphy Blvd, Joplin, MO 64801-5043 | 2009-07-29 |
| City | WARRENSBURG |
| Zip Code | 64093 |
Please comment or provide details below to improve the information on DR. SUSAN LAKE.
| 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.