Individual provider Active NPI

Cheryl Baker Fedel, O.D.

  • Optometrist
  • Brighton, CO
National Provider Identifier
1114215464
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2839 Issued in 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
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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 names 1

  • Cheryl Baker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbaker@brightoneye.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighton Eye Associates PCGroup PAC ID 0840241923, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2839COMDDental Hygienist
2051528MIMDOptometrist

Practice roles

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

Locations

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

Interoperability endpoints

  • Direct secure messaging: drbaker@brightoneye.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1114215464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BRIDGE ST",
            "address_2": "SUITE A",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012275",
            "telephone_number": "303-659-3036",
            "fax_number": "303-359-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BRIDGE ST STE A",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012276",
            "telephone_number": "303-659-3036",
            "fax_number": "303-659-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEL",
        "first_name": "CHERYL",
        "middle_name": "BAKER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "2051528",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbaker@brightoneye.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 E Bridge St Ste A",
            "city": "Brighton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806012276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BAKER",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.