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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THADDEUS W BARTLES, O.D.

Deactivated Sole Proprietor

THADDEUS W BARTLES, O.D. is a Optometrist healthcare provider located in BRISTOL, Connecticut. NPI 1154314144 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · BRISTOL, CT

This NPI has been deactivated. The record was deactivated on March 27, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1154314144
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2005 (0.58630136986301 yrs)
Last Updated
Aug 13, 2010
Deactivated
Mar 27, 2006
License
790 (CT)
Sole Proprietor
Yes

Practice Information

Address
271 FARMINGTON AVE
BRISTOL, CT, 060103901
Browse CT providers · Browse ZIP 06010
Phone
8605820702
Fax
8603140263
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in BRISTOL, CT

Name Credential NPI
DR. SIDNEY LEE SHAFRAN O. D. 1578543708
DR. MICHELLE ELIZABETH MOORE O. D. 1194795971
DR. AMY HIMMELSTEIN 1245257153
DR. MARIA PASQUALINA DELLA PORTA OD 1699781419
DR. MICHAEL RICHARD SUNDMAN O.D. 1063595783
DR. HELEN J ZERVAS OD 1831266576
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.