OPTOMETRIC ASSOCIATES OF BRISTOL, LLC
NPI 1114287505
Optometrist in Bristol, CT

Q: What is Optometric Associates Of Bristol, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 21, 2012

440 N MAIN ST STE B, BRISTOL, CT 06010(860) 582-2166(860) 582-8044 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Optometric Associates Of Bristol, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTOMETRIC ASSOCIATES OF BRISTOL, LLC (NPI 1114287505) is a healthcare organization registered as an optometrist in Bristol, Connecticut and active in the NPI registry since May 2012. The organization lists Amy Himmelstein, Optometrist/manager, as its authorized official.

NPPES Registry Identity

NPI1114287505

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOPTOMETRIC ASSOCIATES OF BRISTOL, LLC

Location Address440 N MAIN ST STE BBristol, CT 06010-1902

Mailing Address440 N Main St Ste BBristol, CT 06010-1902 · (860) 582-2166 · Fax (860) 582-8044

Phone(860) 582-2166

Fax(860) 582-8044

Organization SubpartNo

Authorized OfficialAmy HimmelsteinOptometrist/manager · (860) 582-2166

Enumeration DateMay 21, 2012

Last NPPES UpdateJune 20, 2024

NPPES CertifiedJune 20, 2024

✔ NPI 1114287505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CT · 1085

Definition

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.

440 N MAIN ST STE B, Bristol, CT 06010

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Other Identifiers 1

Medicaid004133823CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optometric Associates Of Bristol, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateConnecticutEnrollment IDO20120717000643Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optometric Associates Of Bristol, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Himmelstein

Optometry

NPI 1245257153

440 N MAIN ST STE B
Bristol, CT 06010

(860) 582-2166

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optometric Associates Of Bristol, LLC's NPI number?

The NPI number for Optometric Associates Of Bristol, LLC is 1114287505. It was assigned to this organization in the NPPES registry on May 21, 2012.

Where is Optometric Associates Of Bristol, LLC located?

Optometric Associates Of Bristol, LLC is located at 440 N Main St Ste B, Bristol, CT 06010. The listed phone number is (860) 582-2166.

What is Optometric Associates Of Bristol, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Optometric Associates Of Bristol, LLC enrolled in Medicare?

Yes. Optometric Associates Of Bristol, LLC is registered in the Medicare PECOS enrollment system.

When is Optometric Associates Of Bristol, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Optometric Associates Of Bristol, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Optometric Associates Of Bristol, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optometric Associates Of Bristol, LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.