| Custom Eyes | |
|
15601 W 87th Street Pkwy, Lenexa, KS 66219-1435 | |
| (913) 894-2020 | |
| Not Available |
| Full Name | Custom Eyes |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15601 W 87th Street Pkwy, Lenexa, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649307372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1364 (Kansas) | Primary |
| Provider Name | Scott Adrian Drake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407881105 PECOS PAC ID: 1052379773 Enrollment ID: I20060210000503 |
| Provider Name | Jeffrey Paul Enevoldsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558617993 PECOS PAC ID: 9739339367 Enrollment ID: I20121017000292 |
| Provider Name | Linda Gail Drake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467487165 PECOS PAC ID: 9234197955 Enrollment ID: I20140221001204 |
| Provider Name | Jennifer L Luebbe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184039711 PECOS PAC ID: 6608092960 Enrollment ID: I20140722001016 |
| Provider Name | Christopher E Cossette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629483268 PECOS PAC ID: 0648496778 Enrollment ID: I20140728000434 |
| Provider Name | Alicia M Genilo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962060293 PECOS PAC ID: 8921332297 Enrollment ID: I20190821000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Eyes 4134 Ne Hampstead Dr, Lees Summit, MO 64064-1619 Ph: (816) 835-2020 | Custom Eyes 15601 W 87th Street Pkwy, Lenexa, KS 66219-1435 Ph: (913) 894-2020 |
Stephen Paul Loughman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9238 Woodstone St, Lenexa, KS 66219 Phone: 913-495-9999 Fax: 913-307-0535 | |
Jennifer Luebbe, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 15601 W 87th Street Pkwy, Lenexa, KS 66219 Phone: 913-894-2020 | |
20/20 Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10123 Cherry Ln, Lenexa, KS 66220 Phone: 913-254-7456 Fax: 913-254-9613 | |
Ashtin Songster, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13803 W 82nd Ter, Lenexa, KS 66215 Phone: 816-533-5336 | |
Krannawitter Eye Care Pa Optometrist Medicare: Medicare Enrolled Practice Location: 11065 Pflumm Rd, Lenexa, KS 66215 Phone: 913-451-7007 Fax: 913-451-7009 | |
Dr. Sean M Powell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10123 Cherry Lane, Lenexa, KS 66220 Phone: 913-254-7456 Fax: 913-254-9613 | |
2020 Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10123 Cherry Ln, Lenexa, KS 66220 Phone: 913-254-7456 Fax: 913-254-9613 |