SUMMIT LAKES EYE CARE
NPI 1689722324
Optometrist in Lees Summit, MO

Active since January 08, 2007
3700 SW CHEDDINGTON DR, LEES SUMMIT, MO 64082(816) 623-9990(816) 623-9449 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Summit Lakes Eye Care NPPES

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

SUMMIT LAKES EYE CARE (NPI 1689722324) is a healthcare organization registered as an optometrist in Lees Summit, Missouri and active in the NPI registry since January 2007. The organization lists John L. Cottle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689722324
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOTTLE OPTOMETRY, PC
Location Address3700 SW CHEDDINGTON DRLees Summit, MO 64082-4797
Mailing Address3700 Sw Cheddington DrLees Summit, MO 64082-4797 · (816) 623-9990 · Fax (816) 623-9449
Fax(816) 623-9449
Organization SubpartNo
Authorized OfficialJohn L. CottleCeo · (816) 623-9990
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 12, 2015
✔ NPI 1689722324 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 · 20151442
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.
3700 SW CHEDDINGTON DR, Lees Summit, MO 64082

Other Names 1

Doing Business AsSummit Lakes Eye Care

Other Identifiers 2

Medicare UPINV03092
Medicare PINW950000MO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Lakes Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Summit Lakes Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1396743472
3700 SW CHEDDINGTON DR
Lees Summit, MO 64082
(816) 623-9990
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1104942358
4405 NE COURTNEY DR
Lees Summit, MO 64064
(626) 644-8443
✔ PECOS9.7 mi
Optometry
NPI 1649345489
504 NW ENGLEWOOD RD
Kansas City, MO 64118
(816) 452-8999
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cottle Optometry, PC's NPI number?

The NPI number for Cottle Optometry, PC is 1689722324. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Summit Lakes Eye Care.

Where is Cottle Optometry, PC located?

Cottle Optometry, PC is located at 3700 SW Cheddington Dr, Lees Summit, MO 64082. The listed phone number is (816) 623-9990.

What is Cottle Optometry, PC's specialty?

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

Is Cottle Optometry, PC enrolled in Medicare?

Yes. Cottle Optometry, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cottle Optometry, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Cottle Optometry, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cottle Optometry, PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Cottle Optometry, PC 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 Cottle Optometry, PC was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.