Active NPI
Jamie Brereton
- Optician
- Avon, CT
National Provider Identifier
1972472488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1837
- Practice address
- 30 W Avon Rd
Avon, CT 06001-3678 - Phone
- (860) 775-5124
- NPI assigned
- Nov 3, 2025
- Last updated
- Nov 3, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1837 | CT | Primary |
Addresses
Primary practice location
30 W Avon Rd
Avon, CT 06001-3678
Mailing address
68 Highland Ave
Windsor, CT 06095-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1837 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1972472488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 HIGHLAND AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W AVON RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013678",
"telephone_number": "860-775-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRERETON",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "1837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.