DR. EUGENE ROBERT BERTOLLI (NPI# 1043371115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043371115 |
| Entity Type | Individual |
| Full Name | DR. EUGENE ROBERT BERTOLLI |
| Credential | OD |
| Practice Address |
470 Lewis Ave C/o Sears Optical Meriden CT 06451 |
| Practice Telephone | 2032383080 |
| Practice Fax Number | 2032380207 |
| Mailing Telephone | 2032383080 |
| Mailing Fax Number | 2032380207 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2015 | CT | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 002015 | CT | Eye and Vision Services Providers |
| Street Address |
470 LEWIS AVE C/O SEARS OPTICAL |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346396983 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden Square, Meriden, CT 06451-2103 | 2007-01-26 |
| 1205297058 | Insight, LLC | Optometrist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-08 |
| 1720448004 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-01 |
| 1013393578 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2015-08-07 |
| 1356727739 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2015-08-07 |
| 1811395494 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2014-12-12 |
| 1891081022 | Ji Hyun Kim | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2011-06-27 |
| 1558687103 | Sph2 Enterprise LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2010-04-07 |
| 1447317961 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden Square, Meriden, CT 06450-2103 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801330691 | Premier Eyecare of Meriden LLC. | Optometrist | 35 Pleasant St Ste 2c, Meriden, CT 06450-7596 | 2016-12-13 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1881805208 | Dr.aucello & Associates, P.C. | Optometrist | 470 Lewis Ave Ste 39, Meriden, CT 06451-2103 | 2007-05-25 |
| 1902835713 | Monique L Dawson | Optometrist | 533 S Broad St, Meriden, CT 06450-6661 | 2006-07-02 |
| 1558349738 | Craig Lawrence Nielsen | Optometrist | 105 Broad St, Meriden, CT 06450-6516 | 2006-01-06 |
| 1174524896 | John Biestek | Optometrist | 35 Pleasent St, Suite 2c, Meriden, CT 06450 | 2005-08-03 |
| 1922668342 | Rachel Hillary Swaniger | Optometrist | 512 W Main St, Meriden, CT 06451-2758 | 2019-06-18 |
| 1205297058 | Insight, LLC | Optometrist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-08 |
| 1841674520 | Meriden Eye Care, LLC | Optometrist | 816 Broad St, Ste 13, Meriden, CT 06450-4350 | 2015-07-13 |
| 1629209150 | Mark Francis Di Loreto | Optometrist | 512 W Main St, B.e.k Eyecare Inc, Meriden, CT 06451-2758 | 2009-07-31 |
| Find all providers in MERIDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.