CUSTOM EYES
NPI 1619004280
Optometrist in Lees Summit, MO

Q: What is Custom Vision, Inc.'s NPI number?

The NPI number for Custom Vision, Inc. is 1619004280. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Custom Eyes.

Q: What is Custom Vision, Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since February 28, 2007

3660 NE RALPH POWELL RD, LEES SUMMIT, MO 64064(816) 524-7400 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Custom Eyes NPPES

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

CUSTOM EYES (NPI 1619004280) is a healthcare organization registered as an optometrist in Lees Summit, Missouri and active in the NPI registry since February 2007. The organization lists Scott Adrian Drake, Owner, as its authorized official.

NPPES Registry Identity

NPI1619004280

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCUSTOM VISION, INC.

Location Address3660 NE RALPH POWELL RDLees Summit, MO 64064-2357

Mailing Address3660 Ne Ralph Powell RdLees Summit, MO 64064-2357 · (816) 524-7400

Phone(816) 524-7400

Organization SubpartNo

Authorized OfficialScott Adrian DrakeOwner · (816) 524-7400

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJanuary 9, 2020

✔ NPI 1619004280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · TO2926

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3660 NE RALPH POWELL RD, Lees Summit, MO 64064

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Other Names 1

Doing Business AsCustom Eyes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. SCOTT ADRIAN DRAKE O.D.

Optometrist

3660 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 524-7400

DR. LINDA GAIL DRAKE O.D.

Optometrist

3660 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 524-7400

DR. JEFFREY ENEVOLDSEN O.D.

Optometrist

3660 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 524-7400

DR. ALICIA GENILO OD

Optometrist

3660 NE RALPH POWELL RD
LEES SUMMIT, MO 64064

Jackson County (816) 524-7400

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 Custom Vision, Inc.'s NPI number?

The NPI number for Custom Vision, Inc. is 1619004280. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Custom Eyes.

Where is Custom Vision, Inc. located?

Custom Vision, Inc. is located at 3660 NE Ralph Powell Rd, Lees Summit, MO 64064. The listed phone number is (816) 524-7400.

What is Custom Vision, Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Custom Vision, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Custom Vision, Inc. 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 Custom Vision, Inc. was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.