Thaddeus W Bartles OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

790 Issued in CT

Legal business name

THADDEUS W BARTLES OD PC

Practice address

271 Farmington Ave
Bristol, CT 06010-3962

Phone

(860) 582-0702

Fax

(860) 314-0263

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thaddeus W. Bartles, O.D.

Title

President

Phone

(860) 582-0702

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Pasqualina Della Porta, OD

  • Optometrist
  • Bristol, CT
  • NPI 1699781419
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1477518116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103962",
            "telephone_number": "860-582-0702",
            "fax_number": "860-314-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103962",
            "telephone_number": "860-582-0702",
            "fax_number": "860-314-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THADDEUS W BARTLES OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BARTLES",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-582-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4021549",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James T Tanski, RPH
• Mythili Tarala
• Elizabeth L Taylor Huey, LCSW
• Danielle Ternullo-Farkash, LPC, LADC
• Deborah C Terry, D.C
• The Family Therapy Center LLC
• The Greater Bristol Visiting Nurse Association Inc
• The Hope Clinic, LLC
• The Hope Clinic, LLC
• The Pediatric Care Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.