Derby Eyecare LLC
NPI 1134500101ActiveOrganization· Optometrist· Derby, KS
Optometrist in Derby, Kansas, registered in NPPES in June 2015. The authorized official on file is Logan Kale Banister, O.D., Owner/Managing Member. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1134500101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2015 |
| Last updated in NPPES | Aug 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1856 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (KS); Part B Supplier - Clinic/Group Practice (KS) |
|---|
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