Active NPI
Linda Gail Drake, O.D.
- Optometrist
- Lees Summit, MO
National Provider Identifier
1467487165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO2883
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2883 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| Paige Hedgpath Odpc | Optometrist | Current | 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
- customeyesld@customeyeskc1.eyefinity-direct.com
- 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.
-
- Optometrist
- Jefferson City, MO
- NPI 1962644732
-
- Optometrist
- Columbia, MO
- NPI 1669530887
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.