Thomas P Brutto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0EG001006 Issued in PA

Practice address

44 E Broad St
Suite 105
Bethlehem, PA 18018-5947

Phone

(610) 867-0588

Fax

(610) 867-1057

NPI assigned

Sep 1, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr. Optometry of Pennsylvania, LLC

  • Optometrist
  • York, PA
  • NPI 1013452267
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1053305342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E BROAD ST",
            "address_2": "SUITE 105",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185947",
            "telephone_number": "610-867-0588",
            "fax_number": "610-867-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E BROAD ST",
            "address_2": "SUITE 105",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185947",
            "telephone_number": "610-867-0588",
            "fax_number": "610-867-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTTO",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG001006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "602275",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Yvette Bruno, LCSW
• Raymond Bruno, D.O.
• Natalie Jean Brunone-Stewart, LSW
• Gregory Brusko, DO
• Anthony Joseph Brutico Jr., D.O.
• Donna Marie Bryant Winston, RN
• Deborah A Bryant, PA-C
• Lee Robert Bryant
• Bryen & Associates PC
• Brianna Rose Bryson, PA-C

• Optometrist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.