Organization Active NPI

Kara Fedders, OD, P.C.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1437384542
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2119 Issued in CO
Legal business name
KARA FEDDERS, OD, P.C.
Practice address
707 S 8TH St
Colorado Springs, CO 80905-1811
Phone
(719) 477-0274
NPI assigned
May 18, 2009
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Kara Fedders, O.D.NPI 1679662498
Title
Optometrist
Phone
(719) 477-0274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2119 CO Primary

Addresses

Primary practice location

707 S 8TH St
Colorado Springs, CO 80905-1811

Mailing address

707 S 8TH St
Colorado Springs, CO 80905-1811
Phone (719) 477-0274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000418 CO Part B Supplier - Clinic/Group Practice 4385799790 Receives reassigned benefits from 4 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1437384542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051811",
            "telephone_number": "719-477-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051811",
            "telephone_number": "719-477-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA FEDDERS, OD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "FEDDERS",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "719-477-0274",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.