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Bradley V Fellows Inc

NPI 1902975121ActiveOrganization· Optometrist· Sandy, UT

Optometrist in Sandy, Utah, registered in NPPES in November 2006. The authorized official on file is Bradley V. Fellows, OD, Owner President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1902975121
StatusActive
Entity typeOrganization
NPI issuedNov 6, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1135088908UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

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