Guy Richard Brignola, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000554 Issued in PA

Practice address

1930 S Broad St Unit 9
Philadelphia, PA 19145-2328

Phone

(800) 448-6767

Fax

(215) 339-8103

NPI assigned

Aug 11, 2005

Last updated

Feb 10, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Philadelphia Eye AssociatesGroup PAC ID 0749264083, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbrignola@philadelphiaeyeassociates.emadirect.md

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.

• Philadelphia Eye Associates

  dba Philadelphia Eye Associates of South Jersey

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1922009596

  Optometrist

  Medicare reassignment Care Compare group NPD
• Ophthalmology Physicians & Surgeons

  • Ophthalmology Physician
  • Hatboro, PA
  • NPI 1003862459

  Optometrist

  Medicare reassignment NPD
• Philadelphia Eye Associates

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1982294013
  NPD
• Vantage Eyecare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bala Cynwyd, PA
  • NPI 1023580131
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1669474557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST UNIT 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "800-448-6767",
            "fax_number": "215-339-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST UNIT 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "800-448-6767",
            "fax_number": "215-339-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGNOLA",
        "first_name": "GUY",
        "middle_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018341500005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brightside Nutrition Co
• Brightway Healthcare LLC
• Antonette Jude Brigidi, MD
• Joseph Brigidi, DMD
• Heather Briglia
• Madeline Marie Brignola, RDN
• Viktor Briker, OD
• Joshua Samuel Brikman, DO
• Brilliant Home Care LLC
• Zachary Brilliant, MD

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.