Cheryl Baker Fedel, O.D.

Individual provider Active NPI Optometrist · Brighton, CO

NPI 1114215464 · NPPES record last updated Aug 10, 2020

Key facts

NPI
1114215464
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2839 (CO)
Practice address
1001 E Bridge St Ste a
Brighton, CO 80601-2276
Phone
(303) 659-3036
Fax
(303) 659-0053
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighton Eye Associates PC (3 clinicians)

Practice addresses (Care Compare)

1001 E Bridge St
Suite a
Brighton, CO 80601-2276
Phone (303) 659-3036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110920000431 CO Practitioner - Optometry 9436320637 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2839COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Eye Associates PC Optometrist Current
since Jul 13, 2011
Accepting new patients

Locations

1001 E Bridge St
Ste A
Brighton, CO 80601
Phone (303) 659-3036

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2051528 MI
Optometrist 152W00000X 2839 CO Yes

Addresses

Primary practice location

1001 E Bridge St Ste a
Brighton, CO 80601-2276

Mailing address

1001 E Bridge St
Suite a
Brighton, CO 80601-2275
Phone (303) 659-3036

Other identifiers

IdentifierTypeStateIssuer
85324001MedicaidCO
12263171OtherCAQH PROVIDER ID

Other names

  • Cheryl Baker Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address drbaker@brightoneye.net Direct

Other providers in Brighton, CO

All providers in Brighton, CO · Optometrist in Colorado

Sources for this page

Verify at the official NPI Registry.