Drake & Associates, Optometrists, P.a.

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

Organization subpart

No

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.

Title

Owner

Phone

(913) 894-2020

Specialties & licenses 1

Addresses

Other names 1

• Custom Eyes Doing business as

Locations

Interoperability endpoints

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

Practitioners 1

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

• Dawn A. Ertel, O.D.

  • Optometrist
  • Lee'S Summit, MO
  • NPI 1851487425
  NPD (past)

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"
        }
    ]
}

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• Optometrist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Optometrist in Kansas

• 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.