Active NPI
Jo Anne Brilliant, O.D.
- Optometrist
- Annapolis, MD
National Provider Identifier
1881687606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0783
- Practice address
- 1410 Forest Dr
Suite 1
Annapolis, MD 21403-1472 - Phone
- (410) 295-3010
- Fax
- (410) 295-3015
- NPI assigned
- Aug 26, 2005
- Last updated
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | TA0783 | MD | Primary |
Addresses
Primary practice location
1410 Forest Dr
Suite 1
Annapolis, MD 21403-1472
Mailing address
1410 Forest Dr
Suite 1
Annapolis, MD 21403-1472
Phone (410) 295-3010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558178800 | Medicaid | MD |
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
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": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1881687606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 FOREST DR",
"address_2": "SUITE 1",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214031472",
"telephone_number": "410-295-3010",
"fax_number": "410-295-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 FOREST DR",
"address_2": "SUITE 1",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214031472",
"telephone_number": "410-295-3010",
"fax_number": "410-295-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILLIANT",
"first_name": "JO",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558178800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.