Individual provider Active NPI

Kenton Ray Driver, OD

  • Optometrist
  • Salina, KS
National Provider Identifier
1639288145
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS13253 Issued in KS
Practice address
1601 E Iron Ave
Salina, KS 67401-3237
Phone
(785) 825-4679
Fax
(784) 825-5898
NPI assigned
Aug 29, 2006
Last updated
Jun 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS13253 KS Primary

Addresses

Primary practice location

1601 E Iron Ave
Salina, KS 67401-3237

Mailing address

1601 E Iron Ave
Salina, KS 67401-3237
Phone (785) 825-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000052 KS Practitioner - Optometry 5294628186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Driver and Clark PAGroup PAC ID 7416840392, 4 clinicians

Practice addresses (Care Compare)

1601 E Iron Ave
Salina, KS 67401-3237
Phone (785) 825-4679

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS13253KSMDOptometrist
1325KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Driver & Clark PA Optometrist CurrentSince Apr 1, 1998 Accepting new patients
DRS Driver & Clark PA Optometrist CurrentSince Apr 1, 1998 Accepting new patients

Locations

407 W 2nd St
Minneapolis, KS 67467
Phone (785) 392-2126

1601 E Iron Ave
Salina, KS 67401
Phone (785) 525-4679

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1639288145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013237",
            "telephone_number": "785-825-4679",
            "fax_number": "785-825-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E IRON AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013237",
            "telephone_number": "785-825-4679",
            "fax_number": "784-825-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "KENTON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS13253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.