Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Vision, Inc

Organization Optometrist · NPI 1619004280

Custom Vision, Inc is an Optometrist in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Phone: (816) 524-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TO2926 (MO)

Record details

NPI number1619004280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Drake — Owner · (816) 524-7400
Other names Custom Eyes; Custom Eyes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address3660 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357

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