Organization Active NPI

DRS Driver & Clark PA

Doing business as Drs Driver & Clark, Optometrist, P.A.

  • Optometrist
  • Salina, KS
National Provider Identifier
1811076060
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1325 Issued in KS
Legal business name
DRS DRIVER & CLARK PA
Doing business as
Drs Driver & Clark, Optometrist, P.A.
Practice address
1601 E Iron Ave
Salina, KS 67401-3237
Phone
(785) 825-4679
Fax
(785) 825-5898
NPI assigned
Nov 6, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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) 825-4679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X KS1325 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

Other names 1

  • Drs Driver & Clark, Optometrist, P.A. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000857 KS Part B Supplier - Clinic/Group Practice 7416840392 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Minneapolis, KS; Salina, KS
O20100930003603 KS DME Supplier - Physician - Optometrist 7416840392 Practice locations: Salina, KS

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
DRS Driver & Clark PA1601 E Iron Ave, Salina, KS 67401-3237(785) 825-4679 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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

1100 W South St
Salina, KS 67401
Phone (785) 825-4679

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1811076060",
    "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": "785-825-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DRIVER & CLARK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-06-20",
        "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": "785-825-4679",
        "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, Optometrist, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.