| Bartram Vision Care | |
|
1185 St. Johns Parkway, St. Johns, FL 32259 | |
| (205) 223-8510 | |
| Not Available |
| Full Name | Bartram Vision Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1185 St. Johns Parkway, St. Johns, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528659406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Scott M Pearl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467452474 PECOS PAC ID: 7618917303 Enrollment ID: I20050512000296 |
| Provider Name | Christopher K Mutai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255359105 PECOS PAC ID: 7113944554 Enrollment ID: I20101022001239 |
| Mailing Address | Practice Location Address |
|---|---|
| Bartram Vision Care Po Box 2552, Ponte Vedra Beach, FL 32004-2552 Ph: (205) 223-8510 | Bartram Vision Care 1185 St. Johns Parkway, St. Johns, FL 32259 Ph: (205) 223-8510 |
Mr. Gerald H Fisher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2766 Racetrack Rd, St. Johns, FL 32259 Phone: 904-287-4567 Fax: 904-287-4597 | |
Mrs. Erika L Fisher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2766 Racetrack Rd., St. Johns, FL 32259 Phone: 904-287-4567 Fax: 904-287-4567 |