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DR. SUSAN LAKE O.D.
NPI 1285687210
Optometrist - Vision Therapy in Warrensburg, MO

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
601 E RUSSELL AVE, SUITE A, WARRENSBURG, MO 64093(660) 747-2020(660) 747-0574 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Lake O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN LAKE O.D. (NPI 1285687210) is an individual vision therapy provider in Warrensburg, Missouri, licensed in Missouri (T03457) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1999).

NPPES Registry Identity

NPI1285687210
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameDR. SUSAN LAKECredential: O.D.
Location Address601 E RUSSELL AVE, SUITE AWarrensburg, MO 64093-9605
Mailing Address601 E Russell Ave, Suite AWarrensburg, MO 64093-9605 · (660) 747-2020 · Fax (660) 747-0574
Phone(660) 747-2020
Fax(660) 747-0574
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1999
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1285687210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in MO · T03457
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
601 E RUSSELL AVE, Warrensburg, MO 64093
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Other Identifiers 1

Medicare UPINU75402MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Lake O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890708911
PECOS Enrollment IDI20060713000172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
28 services28 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY FAMILY EYECARE ASSOCIATES
Optometrist
601 E RUSSELL AVE, SUITE A
WARRENSBURG, MO 64093
Johnson County (660) 747-2020
DR. STEPHEN A COOK O.D
Optometrist
601 E RUSSELL AVE
WARRENSBURG, MO 64093
Johnson County (660) 747-2020
LAKE AND LAKE OPTOMETRY PC
Optometrist
601 E RUSSELL AVE, SUITE A
WARRENSBURG, MO 64093
Johnson County (660) 747-2020
DR. JASON S. LAKE O.D.
Optometrist
601 E RUSSELL AVE
WARRENSBURG, MO 64093
Johnson County (660) 747-2020
EYECARE SPECIALTIES OF MISSOURI LLC
Optometrist
601 E RUSSELL AVE, SUITE A
WARRENSBURG, MO 64093
Johnson County (660) 747-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Lake's NPI number?

The NPI number for Susan Lake is 1285687210. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Susan Lake located?

Susan Lake practices at 601 E Russell Ave Suite A, Warrensburg, MO 64093. The listed phone number is (660) 747-2020.

What is Susan Lake's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Susan Lake enrolled in Medicare?

Yes. Susan Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Lake accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Susan Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Lake was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.