Dr. Mark Joseph Bannon is a Kensington, Connecticut based male Optometrist who is specialized in Optometry. Active license number of Dr. Mark Joseph Bannon is 888 in Connecticut. Dr. Mark Joseph Bannon examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mark Joseph Bannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
359 Main St, Kensington, Connecticut, 06037-2651
Phone:
860-829-1020
Fax:
860-828-5246
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558417949
NPI Enumeration Date:
26 Jan, 2007
NPI Last Update On:
03 Nov, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Joseph Bannon are as mentioned below.
License Number
Specialization
State
Status
888
Connecticut
Primary
888
Optometry
Connecticut
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Joseph Bannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004101549
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
359 Main St, Kensington, Connecticut
Zip:
06037-2651
Phone Number:
860-829-1020
Fax Number:
860-828-5246
Patients can reach Dr. Mark Joseph Bannon at 359 Main St, Kensington, Connecticut or can call to book an appointment on 860-829-1020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.