MEDICARE: DR. BRADLEY V FELLOWS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	113508-9934	UT

General Provider Information

NPI Number	:	1841473295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY V FELLOWS O.D.

Provider Business Mailing Address
First Line	:	9035 S 1300 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-3132
Country	:	US
Telephone Number	:	801-566-4119
Fax Number	:	801-568-3844

Provider Business Practice Location Address
First Line	:	9035 S 1300 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-3132
Country	:	US
Telephone Number	:	801-566-4119
Fax Number	:	801-568-3844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	12/07/2007

Similar Medicare Providers

1114336617 — DR. KAREN CHECKETTS PH.D.
Practice Location Address:

9035 S 1300 E , B120
SANDY, UT
84094-3132

Practice Phone: 801-838-7606
Practice Fax:

1760483986 — KENNETH RAYMOND ANDERSEN D.C.
Practice Location Address:

9035 S 1300 E , SUITE 2B
SANDY, UT
84094-3132

Practice Phone: 801-572-5696
Practice Fax: 801-572-5753

1336351444 — DR. CHRIS JARED HARBRECHT D.C.
Practice Location Address:

9035 S 1300 E , STE 1
SANDY, UT
84094-3132

Practice Phone: 801-569-8787
Practice Fax: 801-569-0376

1720276785 — ALLISON RENCHER M.S., LMFT
Practice Location Address:

9035 S 1300 E , SUITE B120
SANDY, UT
84094-3132

Practice Phone: 801-341-2001
Practice Fax:

1841524840 — VALLEY VIEW HEALTH & WELLNESS
Practice Location Address:

9035 S 1300 E , STE 1B
SANDY, UT
84094-3132

Practice Phone: 801-569-8787
Practice Fax: 801-569-0376

1720304132 — JACQUELINE A NIELSON LPC
Practice Location Address:

9035 S 1300 E , SUITE B120
SANDY, UT
84094-3132

Practice Phone: 801-341-2001
Practice Fax: 801-341-2002

Directions to “ DR. BRADLEY V FELLOWS O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.