Individual provider Active NPI

Kristin Stupiansky, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1912310673
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000368 Issued in DC
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

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151120000483 PA Practitioner - Optometry 5395961510 Practice locations: Erie, PA
I20181115001033 DC Practitioner - Optometry 5395961510 Reassigns benefits to 1 organization
I20191001002543 VA Practitioner - Optometry 5395961510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000368DCMDOptometrist
TA2609MDMDOptometrist
0618002604VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Oct 14, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Oct 14, 2018 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 PastSince Jan 17, 2022 Accepting new patients
Capital Vision PLLC PastSince Jul 1, 2020 Accepting new patients
Aeg Washington DC Professional PLLC Optometrist PastSince Feb 23, 2025 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.

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

Verify at the official NPI Registry.