Individual provider Active NPI

Kara Fedders, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1679662498
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2119 Issued in CO
Practice address
707 S 8TH St
Colorado Springs, CO 80905-1811
Phone
(719) 477-0274
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
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

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

1405 Gumwood Dr
Colorado Springs, CO 80906-7709
Phone (719) 477-0274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041026000226 CO Practitioner - Optometry 3779544457 Reassigns benefits to 1 organization
I20260105001217 FL Practitioner - Optometry 3779544457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kara Fedders, OD, P.C.Group PAC ID 4385799790, 2 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2119COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Fedders, OD, P.C. Optometrist CurrentSince Jul 27, 2009 Accepting new patients
Friendly Eyes Optometry LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

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

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1679662498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 GUMWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067709",
            "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": {
        "last_name": "FEDDERS",
        "first_name": "KARA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.