Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1043371115 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene Robert Bertolli , OD

Optometrist • Meriden, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Bertolli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2006
NPI Deactivation Date January 02, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Bertolli, OD was a registered Optometrist practicing in Meriden, CT. Throughout an active medical career spanning 14 years, Dr. Bertolli provided care at the practice location at 470 LEWIS AVE until profile deactivation on 2020-01-02.

Practice Location & Contact Primary Location

Practice Address

470 Lewis Ave
C/o Sears Optical

Meriden, CT 06451

Telephone 2032383080
Fax 2032380207
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Meriden, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Meriden, CT (704 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CT 2015

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Manush Shah , DMD

Dentist - General Practice

NPI 1649056375

Doctor of Dental Medicine

NPI 1891081022

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 02, 2020

Record deactivated on January 02, 2020

NPI Profile Active December 10, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2010

Registered at 470 LEWIS AVE, C/O SEARS OPTICAL, MERIDEN, CT 06451 (Tel: 2032383080)

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Updated Business Mailing Address December 10, 2010

Registered at 470 LEWIS AVE, C/O SEARS OPTICAL, MERIDEN, CT 06451 (Tel: 2032383080)

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Provider Name / Credentials Updated December 10, 2010

Recorded as EUGENE BERTOLLI, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2010

Optometrist (License #2015 in CT)

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Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043371115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: December 10, 2010
Deactivation Date: January 02, 2020

Mailing Address

470 Lewis Ave, C/o Sears Optical

Meriden, CT 06451

Phone: 2032383080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.