IndividualActive
Susan Lake, O.D.
NPI 1285687210 · Vision Therapy Optometrist · Warrensburg, MO
Provider details
- NPI number
- 1285687210
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- T03457 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
601 E Russell Ave
Suite a
Warrensburg, MO 64093-9605
Phone: (660) 747-2020
Fax: (660) 747-0574
Approximate (ZIP-level) locationGet directions
Mailing address
601 E Russell Ave
Warrensburg, MO 64093-9605
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.