BRENT W FIDLER (NPI# 1083888721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083888721 |
| Entity Type | Organization |
| Organization Name | BRENT W FIDLER |
| Other Organization Name | KODI FIDLER O.D., L.L.C. |
| Practice Address |
455 E Wonder View Ave Ste. B1 Estes Park CO 80517-9647 |
| Practice Telephone | 9705771027 |
| Mailing Telephone | 9705771027 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. BRENT W FIDLER (OPTOMETRIST) |
| Authorized Official Telephone | 9705771027 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BRENT W FIDLER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Kodi Fidler O.D., L.L.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568636207 | Brent W Fidler | Durable Medical Equipment & Medical Supplies | 1524 W Eisenhower Blvd, Ste. C, Loveland, CO 80537-3112 | 2008-04-14 |
| Street Address |
455 E WONDER VIEW AVE STE. B1 |
| City | ESTES PARK |
| State | CO |
| Zip Code | 80517-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424274 | Ronald Gregory Legge | Pharmacist | 455 E Wonder View Ave, Estes Park, CO 80517-8927 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863123 | Action Potential Health and Wellness | Counselor | 157 W Elkhorn Ave, Estes Park, CO 80517 | 2020-05-27 |
| 1861959355 | Dr. Kenneth J. Mcdonald, Psy.d., LLC | Clinic/Center | 356 East Elkhorn Ave., Estes Park, CO 80517 | 2019-02-21 |
| 1992274856 | Park Hospital District | Clinic/Center | 420 Steamer Drive, Estes Park, CO 80517 | 2018-11-20 |
| 1912353145 | Deedra Ivie | Counselor | 880 Macgregor Ave., Estes Park, CO 80517 | 2016-05-06 |
| 1487029112 | Brandon Angus | Dentist | 131 Stanley Ave Ste 201, Estes Park, CO 80517 | 2015-12-07 |
| 1013284199 | Aspen Grove Counseling, LLC | Counselor | 356 E Elkhorn Ave, Suite 9, Estes Park, CO 80517 | 2011-11-17 |
| 1114227758 | Susan Jane Steele | Acupuncturist | 349 Mountain Ave, Berthoud, CO 80517 | 2010-10-29 |
| 1962716613 | Wendy Sarutzki | Acupuncturist | 191 West Riverside Drive, Unit B, Estes Park, CO 80517 | 2010-08-04 |
| 1518156918 | Lynn A. Harris, Psy.d., P.C. | Psychologist | 356 East Elkhorn Ave, Estes Park, CO 80517 | 2007-10-22 |
| 1821201856 | Cynthia Sisson | Physical Therapist | 555 Prospect Avenue, Estes Park, CO 80517 | 2007-05-07 |
| Find all providers in zip 80517 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814726 | Aspen Eye Center LLC | Optometrist | 600 S Saint Vrain Ave, Estes Park, CO 80517-5422 | 2019-07-26 |
| 1356512628 | Aspen Eye Center, LLC | Optometrist | 600 S Saint Vrain Ave, #5, Estes Park, CO 80517-7488 | 2008-03-14 |
| 1720021967 | Longley Lynn Parker | Optometrist | 600 S Saint Vrain Ave, #5, Estes Park, CO 80517-7488 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821174 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 5385 W 38th Ave, Wheat Ridge, CO 80212-7058 | 2020-11-05 |
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1740880806 | Myeyedr Optometry of Colorado PC | Optometrist | 6750 S Cornerstar Way Ste E, Aurora, CO 80016-1573 | 2020-10-28 |
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1154929602 | Madison Street Provider Network, LLC | Optometrist | 125 Inverness Dr E Ste 200, Englewood, CO 80112-5138 | 2020-10-15 |
| 1124626015 | Ekin Vision Care LLC | Optometrist | 1 W Flatiron Crossing Dr Ste 1104, Broomfield, CO 80021-8886 | 2020-10-13 |
| 1538766654 | Sky High Vision | Optometrist | 14749 W 87th Pkwy, Unit D, Arvada, CO 80005 | 2020-10-01 |
| 1033716212 | Madison Street Provider Network Inc | Optometrist | 1371 Hecla Dr Ste C, Louisville, CO 80027-2318 | 2020-10-01 |
| 1831796010 | Madison Street Provider Network Inc | Optometrist | 10001 N. Washington St., Thornton, CO 80229-2050 | 2020-10-01 |
| 1154928331 | Madison Street Provider Network Inc | Optometrist | 4103 Boardwalk Dr Unit 100, Fort Collins, CO 80525-5933 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ESTES PARK |
| Zip Code | 80517 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.