Your Eyes of Bristol

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001204 Issued in CT

Legal business name

YOUR EYES OF BRISTOL

Practice address

927 Farmington Ave
Bristol, CT 06010-3927

Phone

(860) 589-6475

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donat E Jutras, L.O.

Title

Owner

Phone

(860) 589-6475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1871690131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103927",
            "telephone_number": "860-589-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103927",
            "telephone_number": "860-589-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR EYES OF BRISTOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "JUTRAS",
        "authorized_official_first_name": "DONAT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-589-6475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samir Aziz Yaseen
• James Yi
• James B Yoon, M.D.
• Chelsie Elizabeth Young
• Hannah Young
• Kashmeer Zablan, M.D.
• Karolina Zagaja
• Salam F Zakko, MD
• Alicia Zalot
• Lorna Zammett, RPH

• Eyewear Supplier in Bristol, CT
• Providers in Bristol, CT by specialty
• Eyewear Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.