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

Dr. Jason S. Lake, OD

Individual provider Optometrist · NPI 1629022777

Dr. Jason S. Lake, OD is an Optometry in Warrensburg, Missouri. Graduated from Southern College of Optometry in 1998, 28 years ago. Practices with Eyecare Specialties of Missouri LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Trained at
Southern College of Optometry
Licensed in
MO
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

601 E Russell Ave
Warrensburg, MO 64093-9605
Phone: (660) 747-2020
Fax: (660) 747-0574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TO3409 (MO)

Record details

NPI number1629022777
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESNovember 21, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1998 (28 years in practice)
Group practice Eyecare Specialties Of Missouri Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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