| Joseph M. Bannon Od Inc. | |
|
1021 National Rd, Wheeling, WV 26003-5779 | |
| (304) 234-4455 | |
| Not Available |
| Full Name | Joseph M. Bannon Od Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1021 National Rd, Wheeling, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861571002 | NPI | - | NPPES |
| 410045514 | Other | MEDICARE-RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3766 (Ohio) | Secondary |
| 152W00000X | Optometrist | 797D (West Virginia) | Primary |
| Provider Name | Joseph Bannon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821090184 PECOS PAC ID: 4486728631 Enrollment ID: I20080806000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph M. Bannon Od Inc. 1021 National Rd, Wheeling, WV 26003-5779 Ph: (304) 234-4455 | Joseph M. Bannon Od Inc. 1021 National Rd, Wheeling, WV 26003-5779 Ph: (304) 234-4455 |
Dr. Douglas Kent Graebe, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 50 Washington Ave, Wheeling, WV 26003 Phone: 740-695-3822 Fax: 740-695-3822 | |
Dr. John Scott Pockl, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Lumber Ave, Wheeling, WV 26003 Phone: 304-242-5544 Fax: 304-242-2560 | |
Dr. Peter G Dormas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2106 Lumber Ave, Wheeling, WV 26003 Phone: 304-242-5544 | |
Kathryn M Clark, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2101 Jacob St. Suite 201, Valley Prof. Center South, Wheeling, WV 26003 Phone: 304-242-9245 Fax: 304-242-6870 | |
Joseph M. Bannon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 National Rd, Wheeling, WV 26003 Phone: 304-234-4455 Fax: 304-234-4452 | |
Pockl-dormas Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2106 Lumber Ave, Wheeling, WV 26003 Phone: 304-242-5544 Fax: 304-242-2560 |