Individual provider Active NPI

Thomas Christopher Brillante, O.D.

  • Optometrist
  • Decatur, GA
National Provider Identifier
1346389301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1906 Issued in GA
Practice address
321 W Hill St
Suite 6
Decatur, GA 30030-4362
Phone
(404) 371-8777
Fax
(404) 371-9384
NPI assigned
Feb 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1906 GA Primary
Optometrist 152W00000X OPC 3429 FL

Addresses

Primary practice location

321 W Hill St
Suite 6
Decatur, GA 30030-4362

Mailing address

321 W Hill St
Suite 6
Decatur, GA 30030-4362
Phone (404) 371-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200609002580 GA Practitioner - Optometry 2668802828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 W Hill St
Suite 6
Decatur, GA 30030-4362
Phone (404) 371-8777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3429FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Eye Care Optometrist CurrentSince Mar 21, 2020 Accepting new patients

Locations

321 W Hill St
Ste 6
Decatur, GA 30030
Phone (404) 371-8777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346389301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W HILL ST",
            "address_2": "SUITE 6",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304362",
            "telephone_number": "404-371-8777",
            "fax_number": "404-371-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W HILL ST",
            "address_2": "SUITE 6",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304362",
            "telephone_number": "404-371-8777",
            "fax_number": "404-371-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLANTE",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1906",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.