Kenton Ray Driver, OD
Individual provider Active NPI Optometrist · Salina, KS
NPI 1639288145 · NPPES record last updated Jun 22, 2008
Key facts
- NPI
- 1639288145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- KS13253 (KS)
- Practice address
- 1601 E Iron Ave
Salina, KS 67401-3237 - Phone
- (785) 825-4679
- Fax
- (784) 825-5898
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 PA
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000052 | KS | Practitioner - Optometry | 5294628186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS13253 | KS | MD | Optometrist |
| 1325 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Driver & Clark PA | Optometrist | Current |
Accepting new patients |
| DRS Driver & Clark PA | Optometrist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KS13253 | KS | Yes |
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
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.