Individual provider Active NPI

Jamie J Brosof, OD

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1982186839
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003478 Issued in PA
Practice address
6778 Ridge Ave
Philadelphia, PA 19128-2486
Phone
(215) 483-1636
Fax
(215) 483-3765
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003478 PA Primary

Addresses

Primary practice location

6778 Ridge Ave
Philadelphia, PA 19128-2486

Mailing address

6778 Ridge Ave
Philadelphia, PA 19128-2486
Phone (215) 483-1636

Other practice location 1

103 Makefield Rd
Yardley, PA 19067-5937
Phone (215) 428-9355

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190215000529 PA Practitioner - Optometry 9133467236 Reassigns benefits to 2 organizations
Practice locations: Philadelphia, PA; Warrington, PA; Yardley, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians
Andorra Optometrics, Inc.Group PAC ID 4284700162, 2 clinicians

Practice addresses (Care Compare)

2842 S Eagle Rd
Newtown, PA 18940-1543
Phone (215) 579-1155

6778 FL-1 Ridge Ave
Philadelphia, PA 19128-2487

6778 Ridge Ave
FL 1
Philadelphia, PA 19128-2487
Phone (215) 483-1636

Pennsylvania Optometrics
6778 FL 1 Ridge Avenue
Phila., PA 19128-2487

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003478PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 29, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 29, 2025 Accepting new patients
Andorra Optometrics, Inc. Optometrist CurrentSince Jun 27, 2020 Accepting new patients
D'Angelo Family Eye Care Inc Past Accepting new patients

Locations

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

6778 Ridge Ave
Fl 1
Philadelphia, PA 19128
Phone (215) 483-1636

7142 Ridge Ave
Philadelphia, PA 19128
Phone (215) 370-0987

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1982186839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6778 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282486",
            "telephone_number": "215-483-1636",
            "fax_number": "215-483-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6778 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282486",
            "telephone_number": "215-483-1636",
            "fax_number": "215-483-3765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Makefield Rd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675937",
            "country_code": "US",
            "telephone_number": "215-428-9355",
            "fax_number": "215-428-9356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSOF",
        "first_name": "JAMIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.