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LAKE AND LAKE OPTOMETRY PC NPI 1619920576


NPI Information

NPI: 1619920576
Provider Name: LAKE AND LAKE OPTOMETRY PC

Doing Business As: EYECARE SPECIALTIES

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
601 E RUSSELL AVE
SUITE A
WARRENSBURG, MO
ZIP 64093
Phone: (660) 747-2020
Get Directions

LAKE AND LAKE OPTOMETRY PC is an optometrist in Warrensburg, MO. The provider is 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. LAKE AND LAKE OPTOMETRY PC NPI is 1619920576. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eyecare Specialties.

The provider's business location address is:

601 E RUSSELL AVE
SUITE A
WARRENSBURG, MO
ZIP 64093-605
Phone: (660) 747-2020
Fax: (660) 747-0574

The provider's authorized official is Jason S. Lake .
The authorized official title is Delegated Official and has the following contact phone number (660) 747-2020.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristTO3409MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15681310001MEDICARE NSCMISSOURI
2U71620MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.