NPIMap

Organization Active NPI

Joanne Brilliant O.D., P.a.

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1144403098
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOANNE BRILLIANT O.D., P.A.
Doing business as
Brilliant EyeCare
Practice address
1410 Forest Dr
Suite 1
Annapolis, MD 21403-1442
Phone
(410) 295-3010
Fax
(410) 295-3015
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jo Anne Brilliant, O.D.
Title
Dr. of Optometry
Phone
(410) 295-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1410 Forest Dr
Suite 1
Annapolis, MD 21403-1442

Mailing address

1410 Forest Dr
Suite 1
Annapolis, MD 21403-1442
Phone (410) 295-3010

Other names 1

  • Brilliant EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000069 MD Part B Supplier - Clinic/Group Practice 7911976725 Receives reassigned benefits from 2 practitioners
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

1410 Forest Dr
Ste 1
Annapolis, MD 21403
Phone (410) 295-1500

1410 Forest Dr
Annapolis, MD 21403
Phone (410) 280-8774

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1144403098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR",
            "address_2": "SUITE 1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031442",
            "telephone_number": "410-295-3010",
            "fax_number": "410-295-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FOREST DR",
            "address_2": "SUITE 1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031442",
            "telephone_number": "410-295-3010",
            "fax_number": "410-295-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE BRILLIANT O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "BRILLIANT",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DR. OF OPTOMETRY",
        "authorized_official_telephone_number": "410-295-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliant EyeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brilliant EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.