Joseph M. Bannon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

797-OD Issued in WV

Practice address

1021 National Rd
Wheeling, WV 26003-5779

Phone

(304) 234-4455

Fax

(304) 234-4452

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1821090184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GREENTREE DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501443",
            "telephone_number": "740-695-0526",
            "fax_number": "740-695-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035779",
            "telephone_number": "304-234-4455",
            "fax_number": "304-234-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNON",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "797-OD",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410045918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Frank Balzano, MD
• Jennifer Bane
• Tatyana Aleigh Banks
• Allyson Bannan
• Raymond Anthony Bannan
• Nancy Jane Baranski
• Kayla Barbe
• Wendy Barbeau, MSW, LICSW
• Holly W Barbour, CCC-SLP
• Cindy Barcus

• Optometrist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.