Individual provider Active NPI

Chad Kay Fellows, OD

  • Optometrist
  • Colchester, VT
National Provider Identifier
1750345369
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0059291 Issued in VT
Practice address
218 Lower Mountain View Dr
Colchester, VT 05446-5830
Phone
(802) 654-7599
Fax
(802) 654-7592
NPI assigned
Apr 12, 2006
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4760909 UT
Optometrist 152W00000X 030.0059291 VT Primary
Sports Vision Optometrist 152WS0006X 4760909 UT
Vision Therapy Optometrist 152WV0400X 4760909 UT
Occupational Vision Optometrist 152WX0102X 4760909 UT

Addresses

Primary practice location

218 Lower Mountain View Dr
Colchester, VT 05446-5830

Mailing address

218 Lower Mountain View Dr Ste 2
Colchester, VT 05446-8111
Phone (802) 654-7599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4760909UTMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometryprnpc Optometrist Past Accepting new patients
Bradley V Fellows Inc Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1750345369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 LOWER MOUNTAIN VIEW DR STE 2",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468111",
            "telephone_number": "802-654-7599",
            "fax_number": "802-654-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 LOWER MOUNTAIN VIEW DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465830",
            "telephone_number": "802-654-7599",
            "fax_number": "802-654-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "CHAD",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "4760909",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0059291",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "UT",
            "license": "4760909",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "UT",
            "license": "4760909",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "UT",
            "license": "4760909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.