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Contact Information

GUY R BRIGNOLA, OD
1930 S BROAD ST UNIT 9
PHILADELPHIA, PA19145-2328
 Phone: 800-448-6767
 Fax: 215-339-8103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GUY R BRIGNOLA · (Male)

NPI # 1669474557
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/11/2005
Last updated 02/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG000554
  • PA Medicaid 0018341500005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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