Individual provider Active NPI

Marianne Banales, OD

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1053808097
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5908 Issued in FL
Practice address
601 S Belcher Rd
Clearwater, FL 33764-6301
Phone
(727) 266-2393
Fax
(727) 266-2330
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5908 FL Primary

Addresses

Primary practice location

601 S Belcher Rd
Clearwater, FL 33764-6301

Mailing address

601 S Belcher Rd
Clearwater, FL 33764-6301
Phone (727) 266-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240926002794 AZ Practitioner - Optometry 5597206888 Reassigns benefits to 1 organization
I20241111001520 FL Practitioner - Optometry 5597206888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robson Eye Institute PLLCGroup PAC ID 5294164208, 3 clinicians

Practice addresses (Care Compare)

601 S Belcher Rd
Clearwater, FL 33764-6301
Phone (727) 266-2393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2449AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea & Cataract Consultants of Arizona PC CurrentSince Sep 17, 2024 Accepting new patients
Robson Eye Institute, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Pain Centers Nationwide, PC Past Accepting new patients

Locations

3815 E Bell Rd
Ste 2500
Phoenix, AZ 85032
Phone (602) 258-4321

21803 N Scottsdale Rd
Ste 290
Scottsdale, AZ 85255
Phone (602) 258-4321

601 S Belcher Rd
Clearwater, FL 33764
Phone (727) 266-2393

1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200

35111 US Highway 19 N
Ste 102
Palm Harbor, FL 34684
Phone (727) 266-2393

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEGCA
  • Direct secure messaging: mbanales@robsoneye.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1053808097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646301",
            "telephone_number": "727-266-2393",
            "fax_number": "727-266-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646301",
            "telephone_number": "727-266-2393",
            "fax_number": "727-266-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANALES",
        "first_name": "MARIANNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.