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Contact Information

BRENT W FIDLER
1524 W EISENHOWER BLVD
STE. C
LOVELAND, CO80537-3112
 Phone: 970-667-2954
 Fax: 970-663-4713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BRENT W FIDLER

NPI Number 1568636207
LBN Legal business name BRENT W FIDLER
Authorized official BRENT FIDLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2008
Last updated 06/25/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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