# BARTRAM VISION CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528659406
- **Authorized official:** DR. CHRISTOPHER KIBICHII MUTAI OD (OPTOMETRIST)
- **Authorized official phone:** (205) 223-8510

## Contact information

- **Practice address:** 1185 ST. JOHNS PARKWAY, ST. JOHNS, FL 32259
- **Practice address phone:** (205) 223-8510
- **Mailing address:** PO BOX 2552, PONTE VEDRA BEACH, FL 32004-2552
- **Mailing address phone:** (205) 223-8510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021