Individual provider Active NPI

Jennifer Brodil, OD

  • Optometrist
  • Augusta, GA
National Provider Identifier
1912648395
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003436 Issued in GA
Practice address
3440 Wrightsboro Rd
Augusta, GA 30909-2511
Phone
(706) 733-0020
Fax
(706) 733-4498
NPI assigned
Apr 7, 2022
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2354 SC
Optometrist 152W00000X OPT003436 GA Primary

Addresses

Primary practice location

3440 Wrightsboro Rd
Augusta, GA 30909-2511

Mailing address

3900 Almon Dr
Martinez, GA 30907-2204
Phone (941) 448-1683

Other practice location 1

792 Silver Bluff Rd
Aiken, SC 29803-6055
Phone (803) 651-2020

Other practice location 2

1330 Interstate Pkwy
Augusta, GA 30909-5625
Phone (706) 651-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220715000957 GA Practitioner - Optometry 6204217763 Reassigns benefits to 1 organization
I20250716002461 FL Practitioner - Optometry 6204217763 Reassigns benefits to 1 organization
I20260617001123 SC Practitioner - Optometry 6204217763

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

1695 N Broadway Ave
Bartow, FL 33830-3102
Phone (863) 534-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003436GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 23, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 23, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

2301 Wilton Dr
Ste C1
Wilton Manors, FL 33305
Phone (954) 764-6906

2610 Dawson Rd
Albany, GA 31707
Phone (229) 439-4687

3440 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 733-0020

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

806 Dixie St
Carrollton, GA 30117
Phone (770) 834-2071

911 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 695-4676

4521 17th Ave
Columbus, GA 31904
Phone (706) 660-0191

2032 Veterans Blvd
Ste A
Dublin, GA 31021
Phone (478) 272-3445

3801 Northside Dr
Macon, GA 31210
Phone (478) 475-1600

503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899

1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404

1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147

15196 US Highway 19 S
Thomasville, GA 31757
Phone (229) 228-4770

198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088
Phone (478) 971-1500

2209 Memorial Dr
Waycross, GA 31501
Phone (912) 285-2021

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1912648395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ALMON DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072204",
            "telephone_number": "941-448-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092511",
            "telephone_number": "706-733-0020",
            "fax_number": "706-733-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298036055",
            "country_code": "US",
            "telephone_number": "803-651-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309095625",
            "country_code": "US",
            "telephone_number": "706-651-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODIL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2354",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.