Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ksb Medical Group, Inc

Organization Eyewear Supplier · NPI 1306814603

Ksb Medical Group, Inc is an Eyewear Supplier in Dixon, Illinois. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 Palmyra St
Dixon, IL 61021-1953
Phone: (815) 284-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 S Hennepin Ave, Dixon, IL 61021-3083 — (815) 285-5900

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1306814603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Frazier — Cfo · (815) 285-5513
Other names Ksb Optical; Ksb Optical
NPI enumeratedMarch 10, 2006
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing addressPo Box 841330, Kansas City, MO 64184-1330

Other providers in Dixon