IndividualActive
Mark Bannon, OD
NPI 1558417949 · Eyewear Supplier · Kensington, CT
Mark Bannon, OD is a Eyewear Supplier provider in Kensington, CT (NPI 1558417949).
Provider details
- NPI number
- 1558417949
- Entity type
- Individual
- Primary specialty
- Eyewear SupplierSuppliers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 888 (CT)
Specialties & taxonomies
Suppliers
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
359 Main St
Kensington, CT 06037-2651
Phone: (860) 829-1020
Fax: (860) 828-5246
Street-level locationGet directions
Mailing address
359 Main St
Kensington, CT 06037-2651
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2008-11-03
Frequently asked questions
- What is Mark Bannon's NPI number?
- Mark Bannon's National Provider Identifier (NPI) is 1558417949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Bannon's specialty?
- Mark Bannon is listed in the NPPES registry with a primary specialty of Eyewear Supplier (Suppliers).
- Where is Mark Bannon located?
- Mark Bannon's practice location on file with NPPES is 359 Main St, Kensington, CT 06037-2651.
- What is Mark Bannon's phone number?
- The practice phone number listed in the NPPES registry for Mark Bannon is (860) 829-1020.
- Is Mark Bannon's NPI active?
- Yes — Mark Bannon's NPI (1558417949) is active in the NPPES registry as of the last update on 2008-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.