Bradley V Fellows, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

113508-9934 Issued in UT

Practice address

9035 S 1300 E
Sandy, UT 84094-3132

Phone

(801) 566-4119

Fax

(801) 568-3844

NPI assigned

Dec 7, 2007

Sex

Male

Sole proprietor

No

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 UT

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, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bradley V Fellows Inc

  • Optometrist
  • Sandy, UT
  • NPI 1902975121
  Medicare reassignment Authorized official
• Aeg Utah Professional Inc

  • Optometrist
  • Logan, UT
  • NPI 1154212777
  Medicare reassignment

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1841473295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943132",
            "telephone_number": "801-566-4119",
            "fax_number": "801-568-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943132",
            "telephone_number": "801-566-4119",
            "fax_number": "801-568-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "BRADLEY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113508-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Susan Faulhaber, MS SLP
• Charles Steven Fehlauer, MD
• Karli Victoria Fehr
• Leslie Lorraine Feinauer, PHD
• Fellows & Mortensen, LLC
• Megan Bartlett Felsch, CSW
• Elisabeth A Ferlic, M.D.
• Emily Ann Fessia
• Christopher Fiamate
• Leapyear Fiamate

• Optometrist in Sandy, UT
• Providers in Sandy, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.