MARK JOSEPH BANNON

KENSINGTON, CT
NPI1558417949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332H00000X Eyewear Supplier (Equipment, not the service)
(Licence: CT  888)
Additional Taxonomies152W00000X Optometrist
(Licence: CT  888)
Enumeration Date2007-01-26
Last Update Date2008-11-03
Business Address
Dr. MARK JOSEPH BANNON OD
359 MAIN ST
KENSINGTON, CT 06037-2651
Phone number: 860-829-1020
Mailing Address
Dr. MARK JOSEPH BANNON OD
359 MAIN ST
KENSINGTON, CT 06037-2651
Phone number: 860-829-1020