Christopher C. Bonelli, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2893 Issued in CT

Practice address

220 Albany Tpke
Canton, CT 06019-7068

Phone

(860) 693-2289

Fax

(860) 693-1835

NPI assigned

Aug 15, 2013

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonelli Eye Care, LLC

  • Optometrist
  • Canton, CT
  • NPI 1760198253
  Medicare reassignment NPD
• Charles Bonelli

  • Optometrist
  • Canton, CT
  • NPI 1780862888
  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1285067066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060190014",
            "telephone_number": "860-693-2289",
            "fax_number": "860-693-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALBANY TPKE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060197068",
            "telephone_number": "860-693-2289",
            "fax_number": "860-693-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONELLI",
        "first_name": "CHRISTOPHER",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Behavior LLC
• Beyond Rooted LLC
• Christine Biolo
• Bonelli Eye Care, LLC
• Charles A. Bonelli, O.D.
• Isaac J Bosco, DMD
• Melissa Wooldridge Breton, APRN
• Rebecca Desautels Brickman
• Ian Brokaw, DPT
• Carolyn Brown, OTD, OTR/L

• Optometrist in Canton, CT
• Providers in Canton, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.