Active NPI
Kristin Stupiansky, O.D.
- Optometrist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP1000368
- Practice address
- 1919 Pennsylvania Ave NW
Washington, DC 20006-3404 - Phone
- (202) 467-5555
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2609 | MD | |
| Optometrist | 152W00000X | 0618002604 | VA | |
| Optometrist | 152W00000X | OP1000368 | DC | Primary |
Addresses
Primary practice location
1919 Pennsylvania Ave NW
Washington, DC 20006-3404
Mailing address
800 New Jersey Ave SE Apt 932
Washington, DC 20003-3999
Phone (303) 817-2286
Other practice location 1
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
Other practice location 2
4084 University Dr Ste 204
Fairfax, VA 22030-6803
Phone (703) 691-8008
Other practice location 3
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
Other practice location 4
4110 Aspen Hill Rd Ste 300
Rockville, MD 20853-2853
Phone (301) 871-0180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000368 | DC | MD | Optometrist |
| TA2609 | MD | MD | Optometrist |
| 0618002604 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current | Accepting new patients |
| Howard Budner & Associates O.D. P.a | Optometrist | Past | Accepting new patients |
| Budner & Associates O.D. P.a. | Optometrist | Past | Accepting new patients |
| Aeg Pennsylvania Professional Inc | Optometrist | Past | Accepting new patients |
| Capital Vision PLLC | Past | Accepting new patients | |
| Aeg Washington DC Professional PLLC | Optometrist | Past | Accepting new patients |
Locations
2301 M St NW
Washington, DC 20037
Phone (202) 419-6200
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Organizations & group practices 8
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Optometrist
-
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Optometrist
- Washington, DC
- NPI 1801691183
-
- Optometrist
- Pittsburgh, PA
- NPI 1851958854
-
- Optometrist
- Fairfax, VA
- NPI 1902036437
-
- Ophthalmology Physician
- Arlington, VA
- NPI 1578601605
-
- Optometrist
- Rockville, MD
- NPI 1023245933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1912310673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 NEW JERSEY AVE SE APT 932",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033999",
"telephone_number": "303-817-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200063404",
"telephone_number": "202-467-5555"
}
],
"practiceLocations": [
{
"address_1": "10810 Connecticut Ave",
"address_purpose": "LOCATION",
"city": "Kensington",
"state": "MD",
"postal_code": "20895",
"country_code": "US",
"telephone_number": "301-929-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4084 University Dr Ste 204",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220306803",
"country_code": "US",
"telephone_number": "703-691-8008",
"fax_number": "703-691-0754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10810 Connecticut Ave",
"address_purpose": "LOCATION",
"city": "Kensington",
"state": "MD",
"postal_code": "20895",
"country_code": "US",
"telephone_number": "301-929-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4110 Aspen Hill Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208532853",
"country_code": "US",
"telephone_number": "301-871-0180",
"fax_number": "301-871-0183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUPIANSKY",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2609",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002604",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.