DR. DAVID ROBERT BANE D.O.
NPI 1740408079
Optometrist in Minneapolis, MN

Q: What is David Bane's NPI number?

The NPI number for David Bane is 1740408079. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is David Bane's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for David Bane was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2007PECOS Enrolled

5601 12TH AVE SOUTH, MINNEAPOLIS, MN 55417(314) 307-6254(480) 366-3942 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. David Robert Bane D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID ROBERT BANE D.O. (NPI 1740408079) is an individual optometrist in Minneapolis, Minnesota, licensed in Arizona (1454) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2005).

NPPES Registry Identity

NPI1740408079

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DAVID ROBERT BANECredential: D.O.

Location Address5601 12TH AVE SOUTHMinneapolis, MN 55417

Mailing Address5601 12th Ave SouthMinneapolis, MN 55417 · (314) 307-6254 · Fax (480) 366-3942

Phone(314) 307-6254

Fax(480) 366-3942

Sole ProprietorYes

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2005

Enumeration DateApril 23, 2007

Last NPPES UpdateAugust 8, 2007

✔ NPI 1740408079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · 1454

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5601 12TH AVE SOUTH, Minneapolis, MN 55417

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Robert Bane D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426226697

PECOS Enrollment IDI20251020001591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Bane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Friendly Eyes Optometry LLC

1,479 mi

Clinic/Center

2001 N FEDERAL HWY UNIT 120
Pompano Beach, FL 33062

Reassigned Medicare billing, Florida enrollment
38 clinicians in this Medicare group

NPI 1811708977 (513) 222-8136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55417 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Bane's NPI number?

The NPI number for David Bane is 1740408079. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is David Bane located?

David Bane practices at 5601 12th Ave South, Minneapolis, MN 55417. The listed phone number is (314) 307-6254.

What is David Bane's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Bane enrolled in Medicare?

Yes. David Bane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Bane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Bane reassigns Medicare benefits to Friendly Eyes Optometry LLC (Pompano Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Bane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Bane accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list David Bane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Bane was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.