Michael Joseph Bannon, OD
NPI 1124645585ActiveIndividual· Optometrist· Watertown, WI
Optometrist (OD) in Watertown, Wisconsin, trained at Illinois College of Optometry at Chicago (class of 2020). Medicare paid $598.96 for services to 13 patients in 2024. Johnson & Johnson Vision Care, Inc. reported $13.66 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1124645585 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jul 1, 2020 |
| Last updated in NPPES | Jul 1, 2020 |
| Certified by provider | Jul 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3625-35 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 13 across 2 procedure codes |
| Paid by Medicare | $598.96 |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Optometry |
Medical group
- Shoptikal LLCAshwaubenon, WI · 189 clinicians
Industry payments (Open Payments)
- 2025$13.66 · 1 payment from 1 company
- 2024$50.67 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Johnson & Johnson Vision Care, Inc. | $13.66 | 1 |
What the 2025 payments were for
- Food and Beverage$13.66 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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