Individual provider Active NPI

Amelene Gaoiran Bartlett, OD

  • Optometrist
  • Guadalupe, CA
National Provider Identifier
1275213944
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36023 Issued in CA
Practice address
4723 W Main St Ste H
Guadalupe, CA 93434-1787
Phone
(805) 343-5577
Fax
(805) 343-5578
NPI assigned
Jul 19, 2023
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36023 CA Primary

Addresses

Primary practice location

4723 W Main St Ste H
Guadalupe, CA 93434-1787

Mailing address

12398 El Camino Real
Atascadero, CA 93422-6223

Other practice location 1

150 Tejas Pl
Nipomo, CA 93444-9123
Phone (805) 929-3211

Other practice location 2

628 California Blvd Ste D
San Luis Obispo, CA 93401-2558
Phone (805) 543-1447

Other practice location 3

7605 Morro Rd # 6
Atascadero, CA 93422-4433
Phone (805) 466-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20251104003694 CA Practitioner - Optometry 1759871221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyidoctors of California IncGroup PAC ID 3577961572, 21 clinicians

Practice addresses (Care Compare)

3808 W Riverside Dr
Suite 100
Burbank, CA 91505-4339
Phone (818) 843-2214

628 California Blvd
Suite D
San Luis Obispo, CA 93401-2558
Phone (805) 543-1447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36023CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eyecare Center, an Optometric Practice Optometrist CurrentSince Oct 23, 2025 Accepting new patients
Primary Eyecare Center an Optometric Practice Optometrist CurrentSince Oct 23, 2025 Accepting new patients
Fyidoctors of California, Inc. Optometrist CurrentSince Jan 26, 2026 Accepting new patients

Locations

7605 Morro Rd
Atascadero, CA 93422
Phone (805) 466-3777

3808 W Riverside Dr
Ste 100
Burbank, CA 91505
Phone (818) 843-2214

114 N Sunrise Ave
Ste C4
Roseville, CA 95661
Phone (916) 786-2212

628 California Blvd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 543-1447

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1275213944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W MAIN ST STE H",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934341787",
            "telephone_number": "805-343-5577",
            "fax_number": "805-343-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Tejas Pl",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934449123",
            "country_code": "US",
            "telephone_number": "805-929-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 California Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012558",
            "country_code": "US",
            "telephone_number": "805-543-1447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7605 Morro Rd # 6",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934224433",
            "country_code": "US",
            "telephone_number": "805-466-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "AMELENE",
        "middle_name": "GAOIRAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guadalupe, CA

Sources for this page

Verify at the official NPI Registry.