Organization
CUSTOM VISION, INC.
Active
Other names
Custom Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ADRIAN DRAKE O.D. (OWNER)
(816) 524-7400
Entity
Organization
Contact information
Practice address
3660 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2357
(816) 524-7400
Mailing address
3660 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2357
(816) 524-7400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2926
MO
Other
Enumeration date
02/28/2007
Last updated
01/09/2020
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