OrganizationActive
Ksb Medical Group, Inc.
NPI 1306814603 · Eyewear Supplier · Dixon, IL
Ksb Medical Group, Inc. is a Eyewear Supplier organization in Dixon, IL (NPI 1306814603).
Provider details
- NPI number
- 1306814603
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Austin Frazier, Cfo(815) 285-5513
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
511 Palmyra St
Dixon, IL 61021-1953
Phone: (815) 284-2020
Street-level locationGet directions
Mailing address
Po Box 841330
Kansas City, MO 64184-1330
Other names (DBA / former)
- Doing business as
- Ksb Optical
- Doing business as
- Ksb Optical
Additional practice locations (1)
- 102 S Hennepin AveDixon, IL 61021-3083Phone: (815) 285-5900Fax: (815) 285-8901
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is Ksb Medical Group, Inc.'s NPI number?
- Ksb Medical Group, Inc.'s National Provider Identifier (NPI) is 1306814603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ksb Medical Group, Inc.?
- Ksb Medical Group, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Ksb Medical Group, Inc. located?
- Ksb Medical Group, Inc.'s practice location on file with NPPES is 511 Palmyra St, Dixon, IL 61021-1953.
- What is Ksb Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ksb Medical Group, Inc. is (815) 284-2020.
- Who is the authorized official for Ksb Medical Group, Inc.?
- The authorized official listed on Ksb Medical Group, Inc.'s NPPES record is Austin Frazier, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ksb Medical Group, Inc.'s NPI active?
- Yes — Ksb Medical Group, Inc.'s NPI (1306814603) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.