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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
Where is Derby Eyecare LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-08-04.