Individual provider Active NPI

Linda Gail Drake, O.D.

  • Optometrist
  • Lees Summit, MO
National Provider Identifier
1467487165
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2883 Issued in MO
Practice address
3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Phone
(816) 524-7400
Fax
(816) 525-1700
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1364 KS
Optometrist 152W00000X TO2883 MO Primary

Addresses

Primary practice location

3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357

Mailing address

4134 NE Hampstead Dr
Lees Summit, MO 64064-1619
Phone (816) 835-2020

Other practice location 1

15601 W 87th Street Pkwy
Lenexa, KS 66219-1435
Phone (913) 894-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000405 MO Practitioner - Optometry 9234197955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO2883MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath OD,PC Optometrist CurrentSince Dec 22, 2021 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Dec 22, 2021 Accepting new patients

Locations

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

3660 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-7400

Interoperability endpoints

  • Direct secure messaging: customeyesld@customeyeskc1.eyefinity-direct.com
  • Direct secure messaging: ldrake@customeyeskc1.eyefinity-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1467487165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 NE HAMPSTEAD DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641619",
            "telephone_number": "816-835-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642357",
            "telephone_number": "816-524-7400",
            "fax_number": "816-525-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15601 W 87th Street Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662191435",
            "country_code": "US",
            "telephone_number": "913-894-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "LINDA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1364",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.