Michael Joseph Bannon, OD
Optometrist · Watertown, WI
Michael Joseph Bannon, OD is an optometrist with a practice address in Watertown, Wisconsin, and NPI 1124645585, issued on Jul 1, 2020. Check the license (Wisconsin 3625-35, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Michael Joseph Bannon
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License number
- 3625-35 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1500 S Church St, Watertown, WI 53094
- Phone
- (920) 261-9225
- Enumerated
- Jul 1, 2020
- Record last updated
- Jul 1, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200817001762); accepts Medicare assignment
- Medical or professional school
- Illinois College Of Optometry At Chicago, 2020
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,161 in Wisconsin → Look up another NPI →
Verify Michael Joseph Bannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3625-35Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $50.67
3 payments; by number, the most common kind was food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Shoptikal LLCWaukesha, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael Joseph Bannon among 1,161 optometrist records in Wisconsin
Michael Joseph Bannon, OD is one of 1,161 optometrist records with a practice address in Wisconsin. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 85% of them.
- NPI issued2020 · 85% of these records are older, 13% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2020 · median 2008 among the 752 with a school on file
- Record last updated2020 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 optometrist records list a practice address in Watertown
They are 8 of the 366 NPPES records with a practice address in Watertown, and 1,161 optometrist records in Wisconsin.
All 1,161 in Wisconsin → Every provider in Watertown → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Alicja Fitzgerald, O.D.Watertown, WI 530941124341375
- Desiree Herron, O.D.Watertown, WI 530941245568682
- Kellye Zaporski, O.D.Watertown, WI 530941134502982
- Andrew Baldus, O.D.West Bend, WI 530951316924590
- William Dick, ODWest Bend, WI 530951649335662
- Mark Gilbert, OD OPTOMETRISTWest Bend, WI 530951518064344
- Lisa La Susa, O.D.West Bend, WI 530951730593310
- Mark Meuler, ODWest Bend, WI 530951811980568
Common questions
What is Michael Joseph Bannon, OD's NPI number?
Michael Joseph Bannon, OD's National Provider Identifier (NPI) is 1124645585, issued on Jul 1, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Michael Joseph Bannon, OD located?
The NPPES record lists a practice address at 1500 S Church St, Watertown, WI, 53094. Phone: (920) 261-9225. Providers update this record themselves, so call before visiting.
How can I verify Michael Joseph Bannon, OD's license?
NPPES lists Wisconsin license number 3625-35, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.