Thaddeus W Bartles Od Pc

LBN: Thaddeus W Bartles Od Pc
Thaddeus W Bartles Od Pc is an health care organization with primary practice located at 271 Farmington Ave , Bristol CT 06010-3962. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Thaddeus W Bartles Od Pc can be contacted via phone (860) 582-0702, or through Bartles, Thaddeus W. via phone (860) 582-0702.

Contact Information

Primary practice address
271 Farmington Ave Bristol CT 06010-3962
Phone: (860) 582-0702
Fax: (860) 314-0263
Website:
Map and Directions
Authorized official contact:
Name: Bartles, Thaddeus W. Doctor of Optometry (OD)
Phone: (860) 582-0702

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 790 Connecticut

Profile Details

NPI number 1477518116
LBN Legal business name Thaddeus W Bartles Od Pc
DBA Doing business as
Authorized official Bartles, Thaddeus W. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Feb 4th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477518116 NPPES
Connecticut MEDICAID 4021549

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