Active NPI
Chad Kay Fellows, OD
- Optometrist
- Colchester, VT
National Provider Identifier
1750345369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 030.0059291
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4760909 | UT | MD | Occupational Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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; Opt Out Affidavits.
- 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.