STEPHANIE CORBIN (OD) – Optometrist, NPI 1124545603

STEPHANIE CORBIN (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2487 (NC). The NPI Number for STEPHANIE CORBIN (OD) is 1124545603

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE CORBIN (OD)
NPI
1124545603
Phone
(703) 847-8899
Address
1950 Old Gallows Rd Ste 520
Enumeration Date
25 August 2017
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9198510093
Graduation Year
2017 (9 years ago)
PAC ID
6406113760
Group Practice PAC ID
6608019096
Professional Enrollment ID
I20171122001151
Address ID
NC275189210CA2346XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for STEPHANIE CORBIN (OD)

  • 1950 Old Gallows Rd Ste 520

    Vienna, VA 221823970

    Phone: (703) 847-8899

    Type: Location

  • 2000 W HADDON AVE APT 210

    CHICAGO, IL 606223665

    Phone: (717) 348-3985

    Type: Mailing

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Type: Mailing

  • 2024, Cameron Street, Cameron Village, Oberlin, Raleigh, Wake County, North Carolina, 27605, United States

    RALEIGH, NC 276051311

    Phone: (919) 863-2015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171122001151IOptometryNCTBD
I20200917000746IOptometryILTBD
I20211202003042IOptometryFLTBD
I20211208000217IOptometryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608019096View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE CORBIN (OD)'s NPI?
Yes. STEPHANIE CORBIN (OD) is listed with NPI 1124545603 in the public NPI dataset.
Can I rely on STEPHANIE CORBIN (OD) being an active provider?
As of the registry snapshot, STEPHANIE CORBIN (OD) is marked active.
What is STEPHANIE CORBIN (OD)'s primary classification?
Optometrist is the headline specialty for STEPHANIE CORBIN (OD) here. Clinical services aligned with this taxonomy classification.
Does STEPHANIE CORBIN (OD) list a practice location?
Patients near Vienna, Virginia may find STEPHANIE CORBIN (OD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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