Active NPI
Jasmine Marie Bravo-Beaumont, OD
- Optometrist
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG003503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC005736 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Vision Asssociates Group Practices PC | Current | Accepting new patients | |
| Southeast Eye Institute, PA | Optometrist | Current | Accepting new patients |
| Antonio Prado MD PA | Optometrist | Current | 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
- jbravo@pradovision.intellechartdirect.net
- 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.
-
- Ophthalmology Physician
- St Petersburg, FL
- NPI 1306165493
-
- Optometrist
- Tampa, FL
- NPI 1376675454
-
- Ophthalmology Physician
- Cherry Hill, NJ
- NPI 1457442600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.