OrganizationActive
Ksb Medical Group, Inc.
NPI 1487975603 · Eyewear Supplier · Dixon, IL
Provider details
- NPI number
- 1487975603
- 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(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Fax: (815) 284-8326
Street-level locationGet directions
Mailing address
Po Box 841330
Kansas City, MO 64184-1330
Other names (DBA / former)
- Doing business as
- Ksb Eye & Vision Care
- Doing business as
- Ksb Eye & Vision Care
Registry dates
- Enumerated
- 2010-06-22
- Last updated
- 2022-12-29
- Certified
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.