Dr. Charles A Bonelli, OD
Optometrist in Canton, Connecticut
1154492510- Practice location
- 220 Albany Tpke, Canton Village, Canton, CT 06019-2520
- Phone
- 860-639-2289
- Fax
- 860-693-1835
- Last updated
- July 8, 2007
Charles A. Bonelli is an Optometrist based in Canton, CT. Charles A. Bonelli practices in Canton, CT and has the professional credentials of OD. The NPI Number for Charles A. Bonelli is 1154492510 and holds a License No. 000763 (CT). The current practice location address for Charles A. Bonelli is 220 Albany Tpke, Canton Village, Canton, CT 06019-2520 and can be reached out via phone at 860-639-2289 and via fax at 860-693-1835.
Provider Profile Details
- NPI Number
- 1154492510
- Provider Name
- Charles A. Bonelli
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 220 Albany Tpke, Canton Village, Canton, CT 06019-2520
- Phone Number
- 860-639-2289
- Fax Number
- 860-693-1835
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 10, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Albany Tpke
Canton Village
Canton, CT 06019-2520 - City
- Canton
- State
- Connecticut
- Zip
- 06019-2520
- Phone Number
- 860-639-2289
- Fax Number
- 860-693-1835
Provider Business Mailing Address Details
- Address
- Po Box 14
Canton Village
Canton, CT 06019-0014 - City
- Canton
- State
- CT
- Zip
- 06019-0014
- Phone Number
- 860-693-2289
- Fax Number
- 860-693-1835
License Information
- License Number
- 000763
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Canton, CT
View all Optometrists in Canton →Frequently Asked Questions
What is the NPI number of Dr. Charles A Bonelli, OD?
The NPI number of Dr. Charles A Bonelli, OD is 1154492510. It was assigned on November 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles A Bonelli, OD?
Dr. Charles A Bonelli, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 000763.
Where does Dr. Charles A Bonelli, OD practice?
The practice location is 220 Albany Tpke, Canton Village, Canton, CT 06019-2520. The office can be reached at 860-639-2289 (phone) or 860-693-1835 (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 1154492510 directly on the NPPES registry website.