Active NPI
Nathan J Brillian, OPTICIAN
- Optician
- Webster, NY
National Provider Identifier
1780171660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009900
- Practice address
- 603 Ridge Rd
Webster, NY 14580-2316 - Phone
- (585) 276-8608
- NPI assigned
- Apr 17, 2018
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 009900 | NY | Primary |
Addresses
Primary practice location
603 Ridge Rd
Webster, NY 14580-2316
Mailing address
603 Ridge Rd
Webster, NY 14580-2316
Phone (585) 276-8608
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009900 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1780171660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802316",
"telephone_number": "585-276-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802316",
"telephone_number": "585-276-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILLIAN",
"first_name": "NATHAN",
"middle_name": "J",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.