MARIANNE BANALES (OD) – Optometrist, NPI 1053808097
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 OPTOMETRY in AZ
Provider Addresses for MARIANNE BANALES (OD)
2146 E ELECTRA LN
PHOENIX, AZ 850248608
Phone: (813) 810-2342
Type: Mailing
3815 E BELL RD
PHOENIX, AZ 850322122
Phone: (602) 258-4321
Type: Location
10525 GREENSPRINGS DR
TAMPA, FL 336261724
Phone: (813) 810-2342
Type: Mailing
North Rocky Point Drive West, Tampa, Hillsborough County, Florida, 33607, United States
TAMPA, FL 336077201
Phone: (813) 282-7083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $843.
Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($579).
Total Amount
$843
General + Research + Ownership
Payments
24
Total payment records
General Amount
$843
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $579 |
| RxSight Inc | $236 |
| Carl Zeiss Meditec USA, Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240926002794 | I | Optometry | AZ | TBD |
| I20241111001520 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85024)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.