JESSICA VALACHOVIC BRETNALL – Optometrist, NPI 1174208003

JESSICA VALACHOVIC BRETNALL is a healthcare provider. based in New port richey, Florida. specializing in OPTOMETRY. They hold a License No. OPC6245 (FL). The NPI Number for JESSICA VALACHOVIC BRETNALL is 1174208003

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA VALACHOVIC BRETNALL
NPI
1174208003
Phone
(727) 385-1789
Address
8516 SHALLOW CREEK CT
Enumeration Date
19 June 2023
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277263133
Graduation Year
2023 (3 years ago)
PAC ID
8224491394
Group Practice PAC ID
2668495532
Professional Enrollment ID
I20230823001680
Address ID
FL337651563CL23902NXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for JESSICA VALACHOVIC BRETNALL

  • 8516 SHALLOW CREEK CT

    NEW PORT RICHEY, FL 346537025

    Phone: (727) 385-1789

    Type: Mailing

  • 9409 US HIGHWAY 19 STE 336

    PORT RICHEY, FL 346684632

    Phone: (727) 845-5506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $381.

Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: CooperVision Inc. ($205).

Total Amount

$381

General + Research + Ownership

Payments

10

Total payment records

General Amount

$381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230823001680IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3636$0
92004New patient complete exam of visual system2020$0
92250Photography of the retina1414$0
View full utilization report →

Insurance plans in this area (ZIP 34653)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668495532View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Does JESSICA VALACHOVIC BRETNALL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESSICA VALACHOVIC BRETNALL uses 1174208003.
Is JESSICA VALACHOVIC BRETNALL still practicing?
JESSICA VALACHOVIC BRETNALL is currently listed as active in the public NPI registry.
What is JESSICA VALACHOVIC BRETNALL's primary classification?
Optometrist is the headline specialty for JESSICA VALACHOVIC BRETNALL here. Clinical services aligned with this taxonomy classification.
Where is JESSICA VALACHOVIC BRETNALL based?
JESSICA VALACHOVIC BRETNALL is tied to New Port Richey, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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