DERBY EYECARE LLC
NPI 1134500101
Optometrist in Derby, KS

Active since June 15, 2015
1626 E MADISON AVE, DERBY, KS 67037(316) 640-4180 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derby Eyecare Llc NPPES

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

DERBY EYECARE LLC (NPI 1134500101) is a healthcare organization registered as an optometrist in Derby, Kansas and active in the NPI registry since June 2015. The organization lists Logan Kale Banister, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1134500101
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDERBY EYECARE LLC
Location Address1626 E MADISON AVEDerby, KS 67037-2076
Mailing Address1626 E Madison AveDerby, KS 67037-2076 · (316) 640-4180
Organization SubpartNo
Authorized OfficialLogan Kale BanisterOwner/managing Member · (316) 640-4180
Enumeration DateJune 15, 2015
Last NPPES UpdateAugust 4, 2015
NPI 1134500101 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 · 1856
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.

1626 E MADISON AVE, Derby, KS 67037

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

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20482997
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1626 E MADISON AVE
DERBY, KS 67037
Optometrist
1626 E MADISON AVE
DERBY, KS 67037
Optometrist
1626 E MADISON AVE
DERBY, KS 67037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134500101, enumerated as an "organization" on June 15, 2015.

The provider is located at 1626 E MADISON AVE DERBY, KS 67037 and the phone number is (316) 640-4180.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to verify.