Individual provider Active NPI

Kristina Stasko Woodward, OD

  • Optometrist
  • San Carlos, CA
National Provider Identifier
1447231089
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8031T Issued in CA
Practice address
1234 Cherry St
San Carlos, CA 94070-3110
Phone
(560) 593-1661
Fax
(650) 595-5203
NPI assigned
Nov 10, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 8031T CA Primary

Addresses

Primary practice location

1234 Cherry St
San Carlos, CA 94070-3110

Mailing address

1234 Cherry St
San Carlos, CA 94070-3110
Phone (560) 593-1661

Other identifiers 2

IdentifierTypeStateIssuer
1238570001OtherCAMEDICARE SUPPLY
YYY48725YMedicaidCA

Other names 1

  • Kristina Stasko Professional name

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
I20080408000920 CA Practitioner - Optometry 9537147137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Eyes on You Optometry IncGroup PAC ID 6204085939, 2 clinicians

Practice addresses (Care Compare)

336 El Camino Real
San Carlos, CA 94070-2408
Phone (650) 592-1820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8031TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramneek Mangat Optometry PC Optometrist CurrentSince Nov 24, 2025 Accepting new patients
All Eyes on You Optometry Inc Optometrist CurrentSince Aug 23, 2012 Accepting new patients
Carole L. Hong & Kristina Stasko, PTRS Past Accepting new patients
Carole L. Hong OD Inc. Optometrist PastSince Mar 1, 2019 Accepting new patients

Locations

336 El Camino Real
San Carlos, CA 94070
Phone (650) 592-1820

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447231089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 CHERRY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703110",
            "telephone_number": "560-593-1661",
            "fax_number": "650-595-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 CHERRY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703110",
            "telephone_number": "560-593-1661",
            "fax_number": "650-595-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "KRISTINA",
        "middle_name": "STASKO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8031T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLY",
            "identifier": "1238570001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY48725Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "STASKO",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.