KSB OPTICAL
NPI 1306814603
Eyewear Supplier in Dixon, IL
About Ksb Optical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KSB OPTICAL (NPI 1306814603) is a healthcare organization registered as an eyewear supplier in Dixon, Illinois and active in the NPI registry since March 2006. The organization maintains a secondary practice location in Dixon and lists Austin Bruce Frazier, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ksb Optical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
130Medicare enrollment records show 130 clinicians reassign Medicare billing to Ksb Optical, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 130Dixon, IL 61021
Dixon, IL 61021
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 Ksb Medical Group, Inc.'s NPI number?
The NPI number for Ksb Medical Group, Inc. is 1306814603. It was assigned to this organization in the NPPES registry on March 10, 2006. The provider is doing business as Ksb Optical.
Where is Ksb Medical Group, Inc. located?
Ksb Medical Group, Inc. is located at 511 Palmyra St, Dixon, IL 61021. The listed phone number is (815) 284-2020.
What is Ksb Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Ksb Medical Group, Inc. enrolled in Medicare?
Yes. Ksb Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ksb Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 25 Medicare specialties reassign their Medicare billing to Ksb Medical Group, Inc.. 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. The largest specialties are Nurse Practitioner (26), Family Practice (22) and Internal Medicine (16). Of these, 3 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ksb Medical Group, Inc. was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ksb Optical · NPI 1306814603
Eyewear Supplier organization in Dixon, Illinois. Organization record, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1306814603 (Entity type: Organization)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Legal business name:** Ksb Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Austin Frazier, CFO
## Practice location
- **Address:** 511 PALMYRA ST, Dixon, IL 61021-1953
- **Phone:** (815) 284-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 130 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (26), Family Practice (22), Internal Medicine (16); 3 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1306814603/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2022
- **Other identifiers:** Other 0169800003
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Source: [NPI Profile](https://npiprofile.com/npi/1306814603) · Data from the CMS NPPES public registry.