Joseph M. Bannon, OD Valid NPI

Individual provider · Optometrist · Wheeling, WV

NPI

1821090184

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

797-OD (WV)

Sex

Male

Sole proprietor

No

Enumerated

2005-06-01

Last updated

2008-08-19