Individual provider Active NPI

Dana Lynn Banks-McBride, DD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1467551804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0EG000771 Issued in PA
Practice address
289 Mt Nebo Pointe Dr
Pittsburgh, PA 15237
Phone
(412) 364-6937
Fax
(412) 364-5058
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0EG000771 PA Primary

Addresses

Primary practice location

289 Mt Nebo Pointe Dr
Pittsburgh, PA 15237

Mailing address

1020 Kris Dr
Apt #210
Moon Township, PA 15108
Phone (412) 269-3411

Other identifiers 2

IdentifierTypeStateIssuer
01889506MedicaidPA
1374262OtherPAPENNVISION OPTICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100225000543 PA Practitioner - Optometry 8325182561 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0EG000771PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467551804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KRIS DR",
            "address_2": "APT #210",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-269-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MT NEBO POINTE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-364-6937",
            "fax_number": "412-364-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS-MCBRIDE",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG000771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01889506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNVISION OPTICHOICE",
            "identifier": "1374262",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.