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Derby Eyecare LLC

Derby Eyecare LLC is a healthcare organization registered as Optometrist in Derby, KS, holding Type 2 (organization) NPI 1134500101 since 2015. The authorized official on file is Logan Banister, Owner/Managing Member.

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NPI 1134500101
Entity type Organization (Type 2)
Legal business name Derby Eyecare LLC
Practice address 1626 E MADISON AVE, Derby, KS, 67037
Phone 3166404180
Enumeration date 2015-06-15
Last updated in NPPES 2015-08-04

Authorized official

Name Logan Banister
Title Owner/Managing Member
Phone 3166404180

Taxonomy & classification

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary 1856 KS
Copy-ready billing details
Provider: Derby Eyecare LLC
NPI: 1134500101
Taxonomy: 152W00000X (Optometrist)
Address: 1626 E MADISON AVE, Derby, KS, 67037

Providers at this address

NPI Name Type Specialty Location
1396960209 Dr. Richard Marks Organization Optometrist Derby, KS
1700030806 Ronald L Fiegel Od PA- Derby Organization Optometrist Derby, KS
1154551828 Logan Banister Individual Optometrist Derby, KS

Verify this record

Cross-check NPI 1134500101 against the authoritative CMS record: view Derby Eyecare LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-04. Verify at npiregistry.cms.hhs.gov.
Where is Derby Eyecare LLC located?
The practice location on file with NPPES is in Derby, KS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-08-04.