Individual provider Active NPI

Jasmine Marie Bravo-Beaumont, OD

  • Optometrist
  • Chambersburg, PA
National Provider Identifier
1427513167
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003503 Issued in PA
Practice address
1039 Wayne Ave
Chambersburg, PA 17201-2923
Phone
(717) 263-2389
Fax
(717) 263-0884
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 OPC005736 FL
Optometrist 152W00000X OEG003503 PA Primary

Addresses

Primary practice location

1039 Wayne Ave
Chambersburg, PA 17201-2923

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

7524 N Himes Ave
Tampa, FL 33614-3205
Phone (813) 931-0500

Other practice location 2

3830 Sun City Center Blvd Ste N105
Sun City Center, FL 33573-6820
Phone (813) 634-6155

Other practice location 3

1800 JFK Blvd
Philadelphia, PA 19103-7421
Phone (888) 396-2175

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbravo@pradovision.intellechartdirect.net Antonio Prado MD PA
Direct Messaging Address jbravo@eapinellas.intellechartdirect.net Southeast Eye Institute, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210203001785 FL Practitioner - Optometry 5496189342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Eye Care PAGroup PAC ID 3577743996, 11 clinicians

Practice addresses (Care Compare)

1515 9TH Ave N
Gulfcoast Eye Care
St Petersburg, FL 33705-1224
Phone (727) 895-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005736FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Vision Asssociates Group Practices PC CurrentSince Jan 1, 2020 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Antonio Prado MD PA Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1661 SE US Highway 19
Crystal River, FL 34429
Phone (352) 563-1666

2637 E Gulf To Lake Hwy
Inverness, FL 34453
Phone (352) 637-5180

35170 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 359-7603

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

10755 Park Blvd
Seminole, FL 33772
Phone (727) 392-0907

13161 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0410

4359 35th St N
St Petersburg, FL 33714
Phone (727) 525-3959

6950 Central Ave
Ste 120
St Petersburg, FL 33707
Phone (727) 343-3004

3830 Sun City Center Blvd
Ste 105
Sun City Center, FL 33573
Phone (813) 634-6155

3830 Sun City Center Blvd
Ste N105
Sun City Center, FL 33573
Phone 8136346155 ext. 46155

7522 N Himes Ave
Tampa, FL 33614
Phone (813) 931-0500

7524 N Himes Ave
Tampa, FL 33614
Phone (813) 514-8338

7400 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 782-4546

1800 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 910-9983

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jbravo@pradovision.intellechartdirect.net
  • Direct secure messaging: jbravo@eapinellas.intellechartdirect.net

Organizations & group practices 4

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427513167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 WAYNE AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012923",
            "telephone_number": "717-263-2389",
            "fax_number": "717-263-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7524 N Himes Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143205",
            "country_code": "US",
            "telephone_number": "813-931-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3830 Sun City Center Blvd Ste N105",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736820",
            "country_code": "US",
            "telephone_number": "813-634-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 JFK Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191037421",
            "country_code": "US",
            "telephone_number": "888-396-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO-BEAUMONT",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005736",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbravo@pradovision.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Antonio Prado MD PA",
            "address_1": "7524 N Himes Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336143205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbravo@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "3830 Sun City Center Blvd Ste N105",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335736820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.