Organization
KSB MEDICAL GROUP, INC.
Active
Other names
KSB Optical
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN BRUCE FRAZIER (CFO)
(815) 285-5513
Entity
Organization
Contact information
Practice address
511 PALMYRA ST, DIXON, IL 61021-1953
(815) 284-2020
Mailing address
PO BOX 841330, KANSAS CITY, MO 64184-1330
(816) 201-3331
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169800003
MEDICARE DMEPOS NUMBER
—
Enumeration date
03/10/2006
Last updated
12/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us