Active NPI
Thomas F Brill, OD
- Optometrist
- North Port, FL
National Provider Identifier
1740371749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1260
- Practice address
- 14844 Tamiami TRL
North Port, FL 34287-2701 - Phone
- (941) 484-2020
- Fax
- (941) 426-8701
- NPI assigned
- Sep 27, 2006
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1260 | FL | Primary |
Addresses
Primary practice location
14844 Tamiami TRL
North Port, FL 34287-2701
Mailing address
1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62009820 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbrill@centerforsight.intellechartdirect.net | Center For Sight, PL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- tbrill@centerforsight.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1740371749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342859066",
"telephone_number": "941-488-2020",
"fax_number": "941-484-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14844 TAMIAMI TRL",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342872701",
"telephone_number": "941-484-2020",
"fax_number": "941-426-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "THOMAS",
"middle_name": "F",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2023-11-27",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62009820",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbrill@centerforsight.intellechartdirect.net",
"affiliation": "Y",
"affiliationName": "Center For Sight, PL",
"address_1": "14844 Tamiami Trl",
"city": "North Port",
"state": "FL",
"country_code": "US",
"postal_code": "342872701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.