Joseph M. Bannon OD Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

797D Issued in WV

Legal business name

JOSEPH M. BANNON OD INC.

Practice address

1021 National Rd
Wheeling, WV 26003-5779

Phone

(304) 234-4455

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Joseph M. Bannon, O.D.

Title

President

Phone

(304) 234-4455

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1861571002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035779",
            "telephone_number": "304-234-4455"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. BANNON OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BANNON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-234-4455",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "797D",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "410045514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Schmuck Jones, PHD
• Leah Jeannette Jones, DO
• Regina A Jones
• Mia Marshea Jordan, MA, NCC
• Jodie Ann Jorden
• Daniel Irwin Joseph, D.D.S.,M.S.
• Michael K Joseph, DDS
• Robert L Joseph, M.D.
• Marissa Linn Jovicic, FNP
• Crystal Jozwick

• All providers in Wheeling, WV
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.