Thaddeus W Bartles, OD | |
271 Farmington Ave, Bristol, CT 06010-3901 | |
(860) 582-0702 | |
(860) 314-0263 |
Full Name | Thaddeus W Bartles |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 271 Farmington Ave, Bristol, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154314144 | NPI | - | NPPES |
0452540001 | Other | CT | MEDICARE DMERC |
004021549 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 790 (Connecticut) | Primary |
Provider Name | Della Porta Eyecare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366948150 PECOS PAC ID: 3779839477 Enrollment ID: O20180711001604 |
Mailing Address | Practice Location Address |
---|---|
Thaddeus W Bartles, OD 271 Farmington Ave, Bristol, CT 06010-3901 Ph: (860) 582-0702 | Thaddeus W Bartles, OD 271 Farmington Ave, Bristol, CT 06010-3901 Ph: (860) 582-0702 |
Dr. Michael Richard Sundman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Farmington Ave, Walmart Vision Center, Bristol, CT 06010 Phone: 860-585-1156 | |
Optometric Associates Of Bristol, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 440 N Main St Ste B, Bristol, CT 06010 Phone: 860-582-2166 Fax: 860-582-8044 | |
Dr. Michelle Elizabeth Moore, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 683 Broad St, Bristol, CT 06010 Phone: 860-583-2020 | |
Sarah Sharrard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 536 Redstone Hill Rd, #24, Bristol, CT 06010 Phone: 989-233-7186 | |
Dr. Amy Himmelstein, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 440 N Main St Ste B, Bristol, CT 06010 Phone: 860-582-2166 Fax: 860-582-8044 | |
Family Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 780 King St, Bristol, CT 06010 Phone: 860-584-5528 Fax: 860-583-4949 |