BARTRAM VISION CARE
NPI 1528659406
Optometrist in St. Johns, FL

Active since February 02, 2021
1185 ST. JOHNS PARKWAY, ST. JOHNS, FL 32259(205) 223-8510 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bartram Vision Care NPPES

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

BARTRAM VISION CARE (NPI 1528659406) is a healthcare organization registered as an optometrist in St. Johns, Florida and active in the NPI registry since February 2021. The organization lists Christopher Kibichii Mutai, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1528659406
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBARTRAM VISION CARE
Location Address1185 ST. JOHNS PARKWAYSt. Johns, FL 32259
Mailing AddressPo Box 2552Ponte Vedra Beach, FL 32004-2552 · (205) 223-8510
Organization SubpartNo
Authorized OfficialChristopher Kibichii MutaiOptometrist · (205) 223-8510
Enumeration DateFebruary 2, 2021
NPPES CertifiedJanuary 17, 2021
✔ NPI 1528659406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1185 ST. JOHNS PARKWAY, St. Johns, FL 32259

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bartram Vision Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20210520002637Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bartram Vision Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1467452474
535 LOS CAMINOS ST
St Augustine, FL 32095
(954) 655-8330
✔ PECOS9.6 mi
Optometry
NPI 1255359105
9398-1 ARLINGTON EXPY
Jacksonville, FL 32225
(904) 724-9210
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bartram Vision Care's NPI number?

The NPI number for Bartram Vision Care is 1528659406. It was assigned to this organization in the NPPES registry on February 2, 2021.

Where is Bartram Vision Care located?

Bartram Vision Care is located at 1185 St. Johns Parkway, St. Johns, FL 32259. The listed phone number is (205) 223-8510.

What is Bartram Vision Care's specialty?

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

Is Bartram Vision Care enrolled in Medicare?

Yes. Bartram Vision Care is registered in the Medicare PECOS enrollment system.

When is Bartram Vision Care's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bartram Vision Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Bartram Vision Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bartram Vision Care accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Bartram Vision Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bartram Vision Care was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.