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

Dr. Mark Joseph Bannon, OD

Individual provider Optometrist · NPI 1558417949

Dr. Mark Joseph Bannon, OD is an Optometrist in Kensington, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2007
Specialties on file
2
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

359 Main St
Kensington, CT 06037-2651
Phone: (860) 829-1020
Fax: (860) 828-5246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 888 (CT)
Optometrist Taxonomy 152W00000X · Licence 888 (CT)

Record details

NPI number1558417949
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESNovember 3, 2008
Mailing address359 Main St, Kensington, CT 06037-2651

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