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JASON LAKE, O.D.

O.D.

Optometrist

NPI: 1629022777IndividualAccepts Medicare

Specialties, Licenses & Credentials

OptometristPrimary

Optometrist

Code: 152W00000X

TO3409(MO)

CMS Specialties

PrimaryOPTOMETRY

Education

SOUTHERN COLLEGE OF OPTOMETRY

Class of 1998

Contact & Hours

Address
601 E RUSSELL AVE, SUITE A
WARRENSBURG, MO 64093

Quick Facts

NPI
1629022777
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
28

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