Ksb Optical

LBN: Ksb Medical Group, Inc.
Ksb Optical is an health care organization with primary practice located at 511 Palmyra St , Dixon IL 61021-1953. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Ksb Medical Group, Inc. can be contacted via phone (815) 284-2020, or through Frazier, Austin Bruce via phone (815) 285-5513.

Contact Information

Primary practice address
511 Palmyra St Dixon IL 61021-1953
Phone: (815) 284-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frazier, Austin Bruce
Phone: (815) 285-5513

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1306814603
LBN Legal business name Ksb Medical Group, Inc.
DBA Doing business as Ksb Optical
Authorized official Frazier, Austin Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Dec 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306814603 NPPES
Other 0169800003 MEDICARE DMEPOS NUMBER

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