Custom Vision, Inc.
Custom Vision, Inc. is a healthcare organization registered as Optometrist in Lees Summit, MO, holding Type 2 (organization) NPI 1619004280 since 2007. The authorized official on file is Scott Drake, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619004280 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Custom Vision, Inc. |
| Other name | <Unavail> |
| Practice address | 3660 NE RALPH POWELL RD, Lees Summit, MO, 64064 |
| Phone | 8165247400 |
| Enumeration date | 2007-02-28 |
| Last updated in NPPES | 2020-01-09 |
Authorized official
| Name | Scott Drake |
|---|---|
| Title | Owner |
| Phone | 8165247400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | TO2926 | MO |
Copy-ready billing details
Provider: Custom Vision, Inc. NPI: 1619004280 Taxonomy: 152W00000X (Optometrist) Address: 3660 NE RALPH POWELL RD, Lees Summit, MO, 64064
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467487165 | Linda Drake | Individual | Optometrist | Lees Summit, MO |
| 1407881105 | Scott Drake | Individual | Optometrist | Lees Summit, MO |
| 1558617993 | Jeffrey Enevoldsen | Individual | Optometrist | Lees Summit, MO |
| 1962060293 | Alicia Genilo | Individual | Optometrist | Lees Summit, MO |
Verify this record
Cross-check NPI 1619004280 against the authoritative CMS record: view Custom Vision, Inc. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Custom Vision, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-01-09.