NPIMap

Organization Active NPI

Drake & Associates, Optometrists, P.a.

Doing business as Custom Eyes

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1649307372
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1364 Issued in KS
Legal business name
DRAKE & ASSOCIATES, OPTOMETRISTS, P.A.
Doing business as
Custom Eyes
Practice address
15601 W 87TH Street Pkwy
Lenexa, KS 66219-1435
Phone
(913) 894-2020
NPI assigned
Feb 28, 2007
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Dr. Linda Gail Drake, O.D.NPI 1467487165
Title
Owner
Phone
(913) 894-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1364 KS Primary

Addresses

Primary practice location

15601 W 87TH Street Pkwy
Lenexa, KS 66219-1435

Mailing address

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

Other names 1

  • Custom Eyes Doing business as

National Provider Directory

National Provider Directory

Locations

4755 Johnson Dr
Mission, KS 66205
Phone (913) 722-0488

4755 Johnson Dr
Roeland Park, KS 66205

3465 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-7400

Interoperability endpoints

  • Direct secure messaging: ccossette@customeyeskc2.eyefinity-direct.com
  • Direct secure messaging: jluebbe@customeyeskc2.eyefinity-direct.com
  • Direct secure messaging: sdrake@customeyeskc2.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1649307372",
    "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": "15601 W 87TH STREET PKWY",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191435",
            "telephone_number": "913-894-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAKE & ASSOCIATES, OPTOMETRISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-894-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Custom Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.