Scott Adrian Drake (NPI# 1407881105, PAC ID# 1052379773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407881105 |
| PAC ID by PECOS | 1052379773 |
| Professional Enrollment ID | I20041230000458 |
| Full Name | Scott Adrian Drake |
| Organization Legal Name | CUSTOM VISION INC |
| Address |
3660 Ne Ralph Powell Rd Lees Summit MO 64064-2357 |
| Phone Number | 8165247400 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2062470784 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 | 8165247400 | CUSTOM VISION INC |
| 15601 W 87th St Pkwy, Custom Eyes, Lenexa, KS 66219-1435 | 9138942020 | DRAKE AND ASSOCIATES, OPTOMETRISTS, P.A. |
| Organization Legal Name | CUSTOM VISION INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Gail Drake | Optometry | Custom Vision Inc | 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 |
| Jeffrey Paul Enevoldsen | Optometry | Custom Vision Inc | 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 |
| Alicia M Genilo | Optometry | Custom Vision Inc | 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 |
| Street Address |
3660 NE RALPH POWELL RD |
| City | LEES SUMMIT |
| State | MO |
| Zip | 64064-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Gail Drake | Optometry | Custom Vision Inc | 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 |
| Jeffrey Paul Enevoldsen | Optometry | Custom Vision Inc | 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 |
| Alicia M Genilo | Optometry | Custom Vision Inc | 3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick B Russell | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Sara L Horn | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Ryan M Nogle | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Steven Lawrence Perry | Chiropractic | Lakewood Chiropractic, PC | 731 N E Lakewood Blvd, Lees Summit, MO 64064-1353 |
| Julianne Marie Perrini | Physical Therapy | Serc Rebabilitation Partners, LLC | 827 Ne Lakewood Blvd, Serc Lakewood Blvd, Lees Summit, MO 64064-1366 |
| Drake R Rustici | Chiropractic | 603 A Ne Woods Chapel Rd, Lees Summit, MO 64064-1900 | |
| Brittany J Ghani | Nurse Practitioner | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Kathryn C Twenter | Internal Medicine | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Gretchen M Davis | Nurse Practitioner | Joy E Cuezze Md LLC | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Robin L Larson-molzen | Psychologist, Clinical | Midamericare Limited Liability Company | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 |
| Find all physicians in zip 64064 | |||
| City | LEES SUMMIT |
| Zip Code | 64064 |
| Specialty | OPTOMETRY |
| City + Specialty | LEES SUMMIT + OPTOMETRY |
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| 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.