Lake and Lake Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3409 Issued in MO

Legal business name

LAKE AND LAKE OPTOMETRY PC

Doing business as

Eyecare Specialties

Practice address

601 E Russell Ave
Suite a
Warrensburg, MO 64093-9605

Phone

(660) 747-2020

Fax

(660) 747-0574

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason S. Lake, O.D.

Title

Delegated Official

Phone

(660) 747-2020

Specialties & licenses 1

Addresses

Other names 1

• Eyecare Specialties Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffry David Gerson, O.D.

  • Optometrist
  • Olathe, KS
  • NPI 1659378461
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1619920576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E RUSSELL AVE",
            "address_2": "SUITE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939605",
            "telephone_number": "660-747-2020",
            "fax_number": "660-747-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E RUSSELL AVE",
            "address_2": "SUITE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640939605",
            "telephone_number": "660-747-2020",
            "fax_number": "660-747-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AND LAKE OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "660-747-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Kopp, LMT
• Sarah Nicole Krause, APRN
• Thomas Krause, DPT
• Logan Marie Kroenke, PT, DPT
• Laboratory Corporation of America Holdings
• Jason S. Lake, O.D.
• Susan Lake, O.D.
• Lawrence Paul Landwehr, M.D.
• Mallory Langkrahr, LCSW
• Courtney Ann Langston, LCSW

• Optometrist in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.