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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL JOSEPH BANNON, OD

Active

DR. MICHAEL JOSEPH BANNON, OD is a Optometrist healthcare provider located in WATERTOWN, Wisconsin. NPI 1124645585 is currently active in the NPPES registry. Verify at CMS.

Optometrist · WATERTOWN, WI

Registration Details

NPI Number
1124645585
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2020 (6.0784282153467 yrs)
Last Updated
Jul 1, 2020
License
3625-35 (WI)

Practice Information

Address
1500 S CHURCH ST
WATERTOWN, WI, 530946404
Browse WI providers · Browse ZIP 53094
Phone
9202619225
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in WATERTOWN, WI

Name Credential NPI
DR. JULIE MARIE ZOELLICK O.D. 1437150588
JOHN R ANSLINGER OD 1780644245
CAROLYN T SCHNEIDER-DONLEY OD 1720161284
DESIREE MONIK HERRON O.D. 1245568682
DR. ALICJA JANINA FITZGERALD O.D. 1124341375
DR. LEXI DERRY O.D. 1063709491
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.