Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark J Cannon, OD

Individual provider Optometrist · NPI 1407162936

Dr. Mark J Cannon, OD is an Optometry in Seattle, Washington. Graduated from Indiana University - School of Optometry in 2010, 16 years ago. Practices with Doctor Cannon PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Trained at
Indiana University - School of Optometry
Licensed in
WA
In the registry since
2010
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1906 Pike Pl #8-B
Seattle, WA 98101-1055
Phone: (206) 448-7739
Fax: (206) 448-4924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2602 Ne University Village St, Seattle, WA 98105-5023 — (206) 522-9323

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60160060 (WA)

Record details

NPI number1407162936
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 21, 2010
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address2602 Ne University Village St, Suite B (At Market Optical), Seattle, WA 98105-5023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice Doctor Cannon Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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