Ethan Brilley

Primary specialty

OptometristTaxonomy code 152W00000X

License

3320 Issued in CO

Practice address

3745 Dacoro LN Ste 100
Castle Rock, CO 80109-2500

Phone

(720) 375-5625

NPI assigned

Jul 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• One Hour Optical Medical Services, PC

  • Optometrist
  • Denver, CO
  • NPI 1770648297
  Medicare reassignment Care Compare group NPD
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1952301129
  Medicare reassignment NPD
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992919419
  NPD
• One Hour Optical Medical Services, PC

  • Optometrist
  • Greenwood Village, CO
  • NPI 1437471414
  NPD

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1376065029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 DACORO LN STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801092500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 DACORO LN STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801092500",
            "telephone_number": "720-375-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILLEY",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Brennan, NC, BCHN, MSW
• Bridges Pediatric Speech Therapy LLC
• Bright Start Occupational Therapy, LLC
• Kylee Brightside, DDS
• Brigid Medical, LLC
• Melissa Ann Brizgis, OT/L, MS
• Kaitlyn Cooper Brock, M.ED., LPC CANDIDATE
• Alexandria Brockman
• L Scott Brody, D.D.S. P.C
• Brooke Lynn Bronniman, M.S., CF-SLP

• Optometrist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.