Jamie Bradley, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO7323 Issued in FL

Practice address

5290 Seminole Blvd Ste F
St Petersburg, FL 33708-3369

Phone

(727) 800-4411

NPI assigned

Mar 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Island Optics LLC

  • Optometrist
  • St Petersburg, FL
  • NPI 1215414487
  NPD (past)

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1700536281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-800-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-800-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JAMIE",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO7323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Boyle, LMFT
• Steve Boyle, DPT
• Dewey L Bracy, DMD
• George Frederic Bradford
• Dotheria Elaine Bradley, B.A
• Jodi-Ann J Bradley
• Teresa Ann Bradley, MD
• Jaime Michelle Brady, M.S., CCC-SLP
• Kelly Brady
• Karen M Brafford, CRNA

• Optician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.