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DR. JERRY BEAUCHAMP O.D.
NPI 1043354541
Optometrist in Doral, FL

Active since February 16, 2007
1625 NW 107TH AVE, DORAL, FL 33172(305) 470-7866 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Beauchamp O.d. NPPES

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

DR. JERRY BEAUCHAMP O.D. (NPI 1043354541) is an individual optometrist in Doral, Florida, licensed in Florida (OPC1715) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1043354541
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY BEAUCHAMPCredential: O.D.
Location Address1625 NW 107TH AVEDoral, FL 33172-2707
Mailing Address12925 Sw 74th CtMiami, FL 33156-5356 · (305) 251-6555 · Fax (305) 254-6336
Phone(305) 470-7866
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043354541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC1715
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1625 NW 107TH AVE, Doral, FL 33172
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRACLE EAR
Audiologist-Hearing Aid Fitter
1625 NW 107TH AVE
DORAL, FL 33172
Miami-Dade County (305) 470-7805
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
1625 NW 107TH AVE, MIAMI INTERNATIONAL MALL
MIAMI, FL 33172
Miami-Dade County (305) 470-7866

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 Jerry Beauchamp's NPI number?

The NPI number for Jerry Beauchamp is 1043354541. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Jerry Beauchamp located?

Jerry Beauchamp practices at 1625 NW 107th Ave, Doral, FL 33172. The listed phone number is (305) 470-7866.

What is Jerry Beauchamp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jerry Beauchamp was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.