Stephanie Kitamura, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

00003633 Issued in WA

Practice address

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487

Phone

(425) 450-2020

Fax

(425) 688-0620

NPI assigned

Aug 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

New England College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Vision Institute PLLCGroup PAC ID 5597809236, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.93 of 100Reported as group

Quality

100

Improvement activities

40

Cost

69.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skitamura@nvi.intellechartdirect.net

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.

• Northwest Vision Institute, PLLC

  • Ophthalmology Physician
  • Bellevue, WA
  • NPI 1659441160
  Medicare reassignment Care Compare group NPD
• Northwest Vision Institute, PLLC

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WA
  • NPI 1609949551
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1366444069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAMURA",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "00003633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marydina Kirkby, RN
• Jacob Arthur Kirkman, M.D.
• Anika Kirscht
• Masako Kitada, EAMP, L.AC, DI.O.M
• Nozomi Kitagawa, MA, LMHC
• Subhadra Shannin Kitching, LMP
• Kitts & Kitts PLLC
• Kjeld Aamodt PC
• Kari Kjos, M.D.
• Kimarlee Klassen

• Corneal and Contact Management Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.