Elisa Bano, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00851100 Issued in NJ

Practice address

5001 Frankford Ave
Philadelphia, PA 19124-2619

Phone

(215) 288-5000

Fax

(215) 744-1233

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refocus Eye Health of PA PCGroup PAC ID 5092103309, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.06 of 100Reported as group

Quality

92.68

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elisa.bano.2@642.direct.athenahealth.com
• Direct secure messaging: elisa.bano.1@642.direct.athenahealth.com

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.

• Refocus Eye Health of PA, P.C.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1962003418

  Optometrist

  Medicare reassignment Care Compare group NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Refocus Eye Health of NJ, P.C.

  • Ophthalmology Physician
  • Camden, NJ
  • NPI 1093316549

  Optometrist

  Medicare reassignment NPD
• Refocus Eye Health of NJ, P.C.

  • Eyewear Supplier
  • Oakland, NJ
  • NPI 1912867052
  NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679693741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242619",
            "telephone_number": "215-288-5000",
            "fax_number": "215-744-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242619",
            "telephone_number": "215-288-5000",
            "fax_number": "215-744-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANO",
        "first_name": "ELISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002681",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MA",
            "license": "5793",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00851100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OEG002681",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Sarah Bannerman-Martin, CRNP
• Erin Kayla Bannister, CPNP-PC
• Andrea Bannon, CRNP
• Pamela Dorothy Bannon, MD
• Shane Bannon
• Kraig Y Bano, MPT CHT
• Esha Bansal, MD, MPH
• Nikhil Deep Bansal, OD
• Pallavi Bansal, DMD
• Sanya Bansal, MD

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.