Brent W Fidler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1592 Issued in CO

Practice address

1524 W Eisenhower Blvd Ste C
Loveland, CO 80537-4343

Phone

(970) 667-2954

Fax

(866) 858-0953

NPI assigned

Mar 21, 2007

Last updated

Nov 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brent.fidler@uprisedirect.com

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.

• Brent W Fidler

  dba Kodi Fidler O.D., L.L.C.

  • Optometrist
  • Estes Park, CO
  • NPI 1083888721
  NPD (past) Authorized official
• Brent W Fidler

  dba Eisenhower Eyecare

  • Optometrist
  • Loveland, CO
  • NPI 1568636207
  Authorized official Same address or phone
• Optical Perspectives, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Estes Park, CO
  • NPI 1578734588
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1457477440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W EISENHOWER BLVD STE C",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805374343",
            "telephone_number": "970-667-2954",
            "fax_number": "866-858-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W EISENHOWER BLVD STE C",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805374343",
            "telephone_number": "970-667-2954",
            "fax_number": "866-858-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "BRENT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisset Fernandez
• Emily Meredith Ferrando, LPC, MA
• Nicole Marie Ferrara, D.D.S.
• Jazzmen M Ferrell, CAS
• Michelle Feurer, LPCC.0023181
• Kodi T Fidler, O.D.
• Paul Alexander Filby, M.D.
• John Paul Fillmore, D.M.D.
• Find Your Light Mental Wellness
• Clare Marie Finney, DPT

• Optometrist in Loveland, CO
• Providers in Loveland, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.