Organization
JOSEPH M. BANNON OD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M. BANNON (PRESIDENT)
(740) 676-2574
Entity
Organization
Contact information
Practice address
3372 BELMONT ST, BELLAIRE, OH 43906-1523
(740) 676-2574
Mailing address
3372 BELMONT ST, BELLAIRE, OH 43906-1523
(740) 676-2574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3766
OH
152W00000X
Optometrist
797D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410045918
MEDICARE RAILROAD
OH
Enumeration date
11/09/2006
Last updated
08/05/2008
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