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KSB OPTICAL
NPI 1306814603
Eyewear Supplier in Dixon, IL

Active since March 10, 2006
511 PALMYRA ST, DIXON, IL 61021(815) 284-2020 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1306814603
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameKSB MEDICAL GROUP, INC.
Location Address511 PALMYRA STDixon, IL 61021-1953
Mailing AddressPo Box 841330Kansas City, MO 64184-1330 · (816) 201-3331
Phone(815) 284-2020
Organization SubpartNo
Authorized OfficialAustin Bruce FrazierCfo · (815) 285-5513
Enumeration DateMarch 10, 2006
Last NPPES UpdateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1306814603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

511 PALMYRA ST, Dixon, IL 61021
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Other Names 1

Doing Business AsKsb Optical

Secondary Practice Location 1

Location 1102 S Hennepin AveDixon, IL 61021-3083 · Phone (815) 285-5900 · Fax (815) 285-8901

Other Identifiers 1

Other0169800003Medicare Dmepos Number

Other Providers at the Same Location NPPES 5

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

DIXON OPTOMETRIC CENTER, INC.
Clinic/Center
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
DR. PETER JOHN POPOVICH O.D.
Optometrist
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
KSB MEDICAL GROUP, INC.
Eyewear Supplier
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
DR. EMILY S RICHARDSON O.D.
Optometrist
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
OSF HEALTHCARE SYSTEM
Eyewear Supplier
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020

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.

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 with the weekly NPPES data releases published by CMS.