BRILLIANT EYE CENTER
NPI 1154440204
Ophthalmology in Fullerton, CA

Q: What is Brilliant Eye Center's NPI number?

The NPI number for Brilliant Eye Center is 1154440204. It was assigned to this organization in the NPPES registry on March 28, 2007.

Q: What is Brilliant Eye Center's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since March 28, 2007

270 LAGUNA RD, SUITE 100, FULLERTON, CA 92835(714) 525-2375(714) 871-9280 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 12, 2025, Feb 24, 2025 (2 updates tracked since 2025).

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About Brilliant Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRILLIANT EYE CENTER (NPI 1154440204) is a healthcare organization registered as an ophthalmology in Fullerton, California and active in the NPI registry since March 2007. The organization lists Matthew H Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154440204

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameBRILLIANT EYE CENTER

Location Address270 LAGUNA RD, SUITE 100Fullerton, CA 92835-2521

Mailing Address270 Laguna Rd, Suite 100Fullerton, CA 92835-2521 · (714) 525-2375 · Fax (714) 871-9280

Phone(714) 525-2375

Fax(714) 871-9280

Organization SubpartNo

Authorized OfficialMatthew H KimCeo · (714) 525-2375

Enumeration DateMarch 28, 2007

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1154440204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

270 LAGUNA RD, Fullerton, CA 92835

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Other Names 1

Doing Business AsBrilliant Eye Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brilliant Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Brilliant Eye Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Matthew Kim, M.D.

Ophthalmology

NPI 1770514465

270 LAGUNA RD SUITE 100
Fullerton, CA 92835

(714) 525-2375

✔ PECOS✔ Accepts MedicareSame address

Clifford Terry, M.D.

Ophthalmology

NPI 1306842687

270 LAGUNA RD SUITE 100
Fullerton, CA 92835

(714) 525-2375

✔ PECOS✔ Accepts MedicareSame address

Igor Bussel, MD

Ophthalmology

NPI 1699193367

270 LAGUNA RD STE 100
Fullerton, CA 92835

(714) 525-2375

✔ PECOS✔ Accepts MedicareSame address

Maryanne Marcolivio, O.D.

Optometry

NPI 1174685564

270 LAGUNA RD SUITE 100
Fullerton, CA 92835

(714) 525-2375

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brilliant Eye Center's NPI number?

The NPI number for Brilliant Eye Center is 1154440204. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Brilliant Eye Center located?

Brilliant Eye Center is located at 270 Laguna Rd Suite 100, Fullerton, CA 92835. The listed phone number is (714) 525-2375.

What is Brilliant Eye Center's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brilliant Eye Center enrolled in Medicare?

Yes. Brilliant Eye Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brilliant Eye Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Brilliant Eye Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brilliant Eye Center accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Brilliant Eye Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brilliant Eye Center was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.