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Organization

BARTRAM VISION CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER KIBICHII MUTAI OD (OPTOMETRIST)
(205) 223-8510
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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