Custom Vision, Inc.

NPI #1619004280 in Lees Summit, Missouri

Provider Information

NPI Number: 1619004280
Entity Type: Organization
Organization Name: Custom Vision, Inc.
Primary Specialty: Optometrist
Enumeration Date: Feb 28, 2007
Last Updated: Jan 9, 2020

Practice Location

Address: 3660 NE RALPH POWELL RD
City: Lees Summit
State: Missouri
ZIP Code: 64064-2357
Phone: (816) 524-7400

Authorized Official

Name: DR. SCOTT ADRIAN DRAKE, O.D.
Title: OWNER
Phone: (816) 524-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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