Active NPIIndividual providerSole proprietor

Thaddeus W Bartles, OD

Optometrist in Bristol, Connecticut

NPI Number1154314144
Practice location
271 Farmington Ave, Bristol, CT 06010-3901
Fax
860-314-0263
Last updated
August 13, 2010

Thaddeus W Bartles is an Optometrist based in Bristol, CT. Thaddeus W Bartles practices in Bristol, CT and has the professional credentials of OD. The NPI Number for Thaddeus W Bartles is 1154314144 and holds a License No. 790 (CT). The current practice location address for Thaddeus W Bartles is 271 Farmington Ave, Bristol, CT 06010-3901 and can be reached out via phone at 860-582-0702 and via fax at 860-314-0263.

Provider Profile Details

NPI Number
1154314144
Provider Name
Thaddeus W Bartles
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
271 Farmington Ave, Bristol, CT 06010-3901
Phone Number
860-582-0702
Fax Number
860-314-0263
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2005
Last Update Date
August 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
271 Farmington Ave
Bristol, CT 06010-3901
Zip
06010-3901
Phone Number
860-582-0702
Fax Number
860-314-0263
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
271 Farmington Ave
Bristol, CT 06010-3901
City
Bristol
State
CT
Zip
06010-3901
Phone Number
860-582-0702

License Information

License Number
790
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Thaddeus W Bartles, OD?

The NPI number of Thaddeus W Bartles, OD is 1154314144. It was assigned on August 25, 2005 and is currently active in the NPPES registry.

What is the specialty of Thaddeus W Bartles, OD?

Thaddeus W Bartles, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 790.

Where does Thaddeus W Bartles, OD practice?

The practice location is 271 Farmington Ave, Bristol, CT 06010-3901. The office can be reached at 860-582-0702 (phone) or 860-314-0263 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154314144 directly on the NPPES registry website.

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