THADDEUS W BARTLES (NPI# 1154314144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154314144 |
| Entity Type | Individual |
| Full Name | THADDEUS W BARTLES |
| Credential | O.D. |
| Practice Address |
271 Farmington Ave Bristol CT 06010-3901 |
| Practice Telephone | 8605820702 |
| Practice Fax Number | 8603140263 |
| Mailing Telephone | 8605820702 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2010-08-13 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 790 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE DMERC | 0452540001 | 01 |
| CT | 004021549 | 05 |
| Street Address |
271 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366948150 | Della Porta Eyecare, LLC | Optometrist | 271 Farmington Ave, Bristol, CT 06010-3962 | 2018-04-02 |
| 1316177983 | Megan Smith Godard | Optometrist | 271 Farmington Ave, Bristol, CT 06010-3962 | 2009-07-17 |
| 1699781419 | Maria Pasqualina Della Porta | Optometrist | 271 Farmington Ave, Bristol, CT 06010-3962 | 2006-08-01 |
| 1477518116 | Thaddeus W Bartles Od PC | Optometrist | 271 Farmington Ave, Bristol, CT 06010-3962 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| 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 |
|---|---|---|---|---|
| 1487710737 | Edward George Turro | Optometrist | 72 Farmington Ave, Bristol, CT 06010-4216 | 2006-12-29 |
| 1831266576 | Helen J Zervas | Optometrist | 780 King St, Bristol, CT 06010-4480 | 2006-11-29 |
| 1689745218 | Parag Kanitkar | Optometrist | 1262 Volunteer Pkwy, Bristol, TN 37620-4628 | 2006-11-13 |
| 1710089651 | James Patrick Callanan | Optometrist | 721 Commonwealth Ave, Bristol, VA 24201-3321 | 2006-09-01 |
| 1700991932 | 20/20 Vision Care, Inc. | Optometrist | 375 Metacom Ave, Bristol, RI 02809-5179 | 2006-08-20 |
| 1184634982 | Rhonda Fletcher Smith | Optometrist | 308 Ridgemont St, Bristol, TN 37620-7132 | 2006-08-08 |
| 1245257153 | Amy Himmelstein | Optometrist | 751 Farmington Ave, Bristol, CT 06010-3900 | 2006-07-16 |
| 1376582155 | William R Shumaker | Optometrist | 321 Midway Medical Park, Bristol, TN 37620-1651 | 2006-06-06 |
| 1144298456 | Michelle Hejny | Optometrist | 500 Gate City Hwy, Space 405, Bristol, VA 24201-2372 | 2006-03-10 |
| 1861467763 | Taylor E Repko | Optometrist | 1701 Euclid Ave Ste D, Bristol, VA 24201-3700 | 2006-02-22 |
| Find all providers in BRISTOL | ||||
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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.