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DRS DRIVER & CLARK PA
NPI 1104996891
Optometrist in Minneapolis, KS

Active since November 09, 2006
407 W 2ND ST, MINNEAPOLIS, KS 67467(785) 392-2126(785) 392-2180 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Drs Driver & Clark Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRS DRIVER & CLARK PA (NPI 1104996891) is a healthcare organization registered as an optometrist in Minneapolis, Kansas and active in the NPI registry since November 2006. The organization lists Kenton Ray Driver, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104996891
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDRS DRIVER & CLARK PA
Location Address407 W 2ND STMinneapolis, KS 67467-2315
Mailing Address407 W 2nd StMinneapolis, KS 67467-2315 · (785) 392-2126 · Fax (785) 392-2180
Phone(785) 392-2126
Fax(785) 392-2180
Organization SubpartYes
Authorized OfficialKenton Ray DriverDoctor · (785) 392-2126
Enumeration DateNovember 9, 2006
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1104996891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KS · KS1325
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
407 W 2ND ST, Minneapolis, KS 67467
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Other Names 1

Doing Business AsDrs Driver & Clark Pa

Other Identifiers 2

Medicare PIN650504
Medicare NSC4196900001KS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drs Driver & Clark Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Drs Driver & Clark PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Jackson Shetlar, OD
Optometry
NPI 1205674389
1601 E IRON AVE
Salina, KS 67401
(785) 825-4679
✔ PECOS✔ Accepts Medicare21 mi
Stacy Clark, OD
Optometry
NPI 1912016494
1601 E IRON AVE
Salina, KS 67401
(785) 825-4679
✔ PECOS✔ Accepts Medicare21 mi
Kenton Driver, OD
Optometry
NPI 1639288145
1601 E IRON AVE
Salina, KS 67401
(785) 825-4679
✔ PECOS✔ Accepts Medicare21 mi
Jenee Barth, O.D.
Optometry
NPI 1134219249
311 NW 3RD
Abilene, KS 67410
(785) 263-2020
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Drs Driver & Clark PA's NPI number?

The NPI number for Drs Driver & Clark PA is 1104996891. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Drs Driver & Clark PA located?

Drs Driver & Clark PA is located at 407 W 2nd St, Minneapolis, KS 67467. The listed phone number is (785) 392-2126.

What is Drs Driver & Clark PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Drs Driver & Clark PA enrolled in Medicare?

Yes. Drs Driver & Clark PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Drs Driver & Clark PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Drs Driver & Clark PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Drs Driver & Clark PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Drs Driver & Clark PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Drs Driver & Clark PA was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.