Christopher K Mutai

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4402 Issued in FL

Practice address

9398-1 Arlington Expy
Jacksonville, FL 32225-8213

Phone

(904) 724-9210

Fax

(904) 724-3680

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bartram Vision Care

  • Optometrist
  • Saint Johns, FL
  • NPI 1528659406
  Medicare reassignment NPD Authorized official
• Dr. Ted Brink and Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1427138650
  Medicare reassignment NPD
• Fleming Island Vision Center, Inc.

  dba Pearle Vision of Fleming Island

  • Optometrist
  • Fleming Island, FL
  • NPI 1245482710
  Medicare reassignment NPD
• Dr.Ted Brink & Associates

  • Optometrist
  • Jacksonville, FL
  • NPI 1730402686
  NPD
• Fleming Island Vision Center

  dba Pearle Vision

  • Optometrist
  • Orange Park, FL
  • NPI 1861668964
  NPD (past)
• Wyatt- Kirkpatrick Eye MD Associates

  • Ophthalmology Physician
  • Selma, AL
  • NPI 1992841886

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1255359105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398-1 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258213",
            "telephone_number": "904-724-9210",
            "fax_number": "904-724-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398-1 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258213",
            "telephone_number": "904-724-9210",
            "fax_number": "904-724-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTAI",
        "first_name": "CHRISTOPHER",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937627",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Musso, D.M.D.
• Sonila Musta-Kina, PA-C
• Emiliya Mustafaeva
• Kaitlyn Musto, PAC
• Michele L. Musto, M.D.
• Lisa Renee Muth, A.R.N.P.
• Karthik Muthusamy, MD
• Sahilpreet Kaur Mutti
• Sudha Rani Mutyala, MD
• Elizabeth Gatch Mutz, DNP, APRN

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.