DRS Driver & Clark PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS1325 Issued in KS

Legal business name

DRS DRIVER & CLARK PA

Doing business as

Drs Driver & Clark PA

Practice address

407 W 2ND St
Minneapolis, KS 67467-2315

Phone

(785) 392-2126

Fax

(785) 392-2180

NPI assigned

Nov 9, 2006

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

DRS DRIVER & CLARK PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenton Ray Driver, ODNPI 1639288145

Title

Doctor

Phone

(785) 392-2126

Specialties & licenses 1

Addresses

Other names 1

• Drs Driver & Clark PA Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• DRS Driver & Clark PA

  dba Drs Driver & Clark, Optometrist, P.A.

  • Optometrist
  • Salina, KS
  • NPI 1811076060

  O20040204000857

  Same enrollment

Part of

Driver Clark PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• DRS Driver & Clark PA

  dba Drs Driver & Clark, Optometrist, P.A.

  • Optometrist
  • Salina, KS
  • NPI 1811076060
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenton Ray Driver, OD

  • Optometrist
  • Salina, KS
  • NPI 1639288145
  NPD Authorized official
• Stacy Ann Clark, OD

  • Optometrist
  • Salina, KS
  • NPI 1912016494
  NPD
• Jackson Cade Shetlar, OD

  • Optometrist
  • Salina, KS
  • NPI 1205674389
  NPD
• Jenee' Barth, O.D.

  • Optometrist
  • Abilene, KS
  • NPI 1134219249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1104996891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "KS",
            "postal_code": "674672315",
            "telephone_number": "785-392-2126",
            "fax_number": "785-392-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "KS",
            "postal_code": "674672315",
            "telephone_number": "785-392-2126",
            "fax_number": "785-392-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DRIVER & CLARK PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS DRIVER & CLARK PA",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "KENTON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "785-392-2126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Driver & Clark PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Minneapolis
• County of Ottawa
• County of Ottawa (Ottawa County Home Health/Hospice Agency)
• Jacelyn Rae Dawson
• Krista Ranae Dewitt, D.O.
• Courtney Rahe Eckert, AGACNP-C
• Fred V Hargis Jr DDS
• Ashley D Freeman, LPC, LMAC
• Great Plains of Ottawa Co Inc (Ottawa County Health Center)
• Great Plains of Ottawa Co Inc (Ottawa County Health Center)

• Optometrist in Minneapolis, KS
• Providers in Minneapolis, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.