Active NPI
Ron G Fair, OD
- Optometrist
- Brighton, CO
National Provider Identifier
1376536268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 645
- Practice address
- 1001 E Bridge St Ste a
Brighton, CO 80601-2275 - Phone
- (303) 659-3036
- Fax
- (303) 659-0053
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 645 | CO | Primary |
Addresses
Primary practice location
1001 E Bridge St Ste a
Brighton, CO 80601-2275
Mailing address
1001 E Bridge St Ste a
Brighton, CO 80601-2276
Phone (303) 659-3036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08006454 | Medicaid | CO | |
| C1376536268 | Other | CO | NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 645 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Eye Associates PC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Brighton, CO
- NPI 1598788564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1376536268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": "806012275",
"telephone_number": "303-659-3036",
"fax_number": "303-659-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "RON",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08006454",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "C1376536268",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.