Individual provider Active NPI

David M Banford, OD

  • Optometrist
  • Loveland, CO
National Provider Identifier
1245251982
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1021 Issued in CO
Practice address
2249 W Eisenhower Blvd
Loveland, CO 80537-3147
Phone
(970) 669-4587
Fax
(970) 669-4588
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1021 CO Primary

Addresses

Primary practice location

2249 W Eisenhower Blvd
Loveland, CO 80537-3147

Mailing address

2249 W Eisenhower Blvd
Loveland, CO 80537-3147
Phone (970) 669-4587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000789 CO Practitioner - Optometry 0042216285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1021COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jul 27, 2020 Accepting new patients
Jackson Eyecare, PC Optometrist CurrentSince Jun 26, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jul 27, 2020 Accepting new patients
Jackson Eye Care, PC Optometrist CurrentSince Jun 26, 2023 Accepting new patients

Locations

1037 Robertson St
Fort Collins, CO 80524
Phone (970) 224-0606

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

2249 W Eisenhower Blvd
Loveland, CO 80537
Phone (970) 667-8533

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1245251982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373147",
            "telephone_number": "970-669-4587",
            "fax_number": "970-669-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373147",
            "telephone_number": "970-669-4587",
            "fax_number": "970-669-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANFORD",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.