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Eyecare Specialties of Missouri LLC

Optometrist in Clinton, MO · enumerated 2006 · authorized official Jason Lake, Dr/ Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053427435

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Registry record

Entity type Organization (Type 2)
Legal business name Eyecare Specialties of Missouri LLC
Other name <Unavail>
Practice address 1104 E Ohio St, Clinton, MO, 64735
Phone (660) 885-7116
Enumeration date Aug 21, 2006
Last updated in NPPES Apr 6, 2015

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Jason Lake
Title Dr/ Owner
Phone (660) 885-7116

Other identifiers

Identifier Type State Issuer
504891805 Medicaid MO -
MA5292 Other MO MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Eyecare Specialties of Missouri LLC?
NPPES lists Jason Lake (Dr/ Owner) as the authorized official for this organization.
What is the NPI number for Eyecare Specialties of Missouri LLC?
The NPI for Eyecare Specialties of Missouri LLC is 1053427435, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-06.