Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Robert Bane, DO

Individual provider Optometrist · NPI 1740408079

Dr. David Robert Bane, DO is an Optometry in Minneapolis, Minnesota. Graduated from University of Missouri St Louis - School of Optometry in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
21
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
AZ
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5601 12th Ave S
Minneapolis, MN 55417
Phone: (314) 307-6254
Fax: (480) 366-3942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1454 (AZ)

Record details

NPI number1740408079
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 8, 2007
Mailing address5601 12th Ave South, Minneapolis, MN 55417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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