MS. STEPHANIE KITAMURA (O.D.) – Corneal and Contact Management Optometrist, NPI 1366444069

MS. STEPHANIE KITAMURA (O.D.) is a healthcare provider. based in Bellevue, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 00003633 (WA). The NPI Number for MS. STEPHANIE KITAMURA (O.D.) is 1366444069

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. STEPHANIE KITAMURA (O.D.)
NPI
1366444069
Phone
(425) 450-2020
Address
12301 NE 10TH PL STE 200
Enumeration Date
11 August 2005
Last Update Date
17 January 2008

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4258991555
Graduation Year
1996 (30 years ago)
PAC ID
2769513597
Group Practice PAC ID
5597809236
Professional Enrollment ID
I20100623000316
Address ID
WA980347297KI11800STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Loading map...

Provider Addresses for MS. STEPHANIE KITAMURA (O.D.)

  • Northeast 10th Place, Bellevue, King County, Washington, United States

    BELLEVUE, WA 980052487

    Phone: (425) 450-2020

    Fax: (425) 688-0620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($160).

Total Amount

$437

General + Research + Ownership

Payments

13

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100623000316IOptometryWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system103103$0
92133Imaging of optic nerve3130$0
92083Exam of visual field with extended testing2822$0
99213Established patient office or other outpatient visit, 20-29 minutes2518$0
92134Imaging of retina2121$0
View full utilization report →

Insurance plans in this area (ZIP 98005)

Loading plans...

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: 5597809236View full group profile
NameSpecialtyState
Nurse PractitionerWA
O P T O M E T R YWA
Nurse PractitionerWA
O P H T H A L M O L O G YWA
O P T O M E T R YWA
O P H T H A L M O L O G YWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MS. STEPHANIE KITAMURA (O.D.)?
MS. STEPHANIE KITAMURA (O.D.) — NPI 1366444069 — is the standard way to identify this listing.
Can I rely on MS. STEPHANIE KITAMURA (O.D.) being an active provider?
As of the registry snapshot, MS. STEPHANIE KITAMURA (O.D.) is marked active.
What is MS. STEPHANIE KITAMURA (O.D.)'s specialty?
The listing groups MS. STEPHANIE KITAMURA (O.D.) with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect MS. STEPHANIE KITAMURA (O.D.) on a map?
Expect Bellevue, Washington as a primary anchor for MS. STEPHANIE KITAMURA (O.D.) unless the record lists multiple sites.
Why does MS. STEPHANIE KITAMURA (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. MARK CHRISTOPHER BARRY (OD)

Corneal and Contact Management Optometrist
910, North 32nd Street, Kennydale, Renton, King County, Washington, 98056, United States
NPI: 1326041666
1837, 156th Avenue Northeast, Bellevue, King County, Washington, 98007, United States
NPI: 1639190150

Factoria Eye Clinic

Corneal and Contact Management Optometrist
4317, Factoria Boulevard Southeast, Factoria, Bellevue, King County, Washington, 98006, United States
NPI: 1568579225

DR. CAROLINE KAUFMAN (O.D.)

Corneal and Contact Management Optometrist
4317, Factoria Boulevard Southeast, Factoria, Bellevue, King County, Washington, 98006, United States
NPI: 1831294503
Northeast 24th Street, Bellevue, King County, Washington, 98052-5491, United States
NPI: 1982935953

ALEX GIESOO KIM (OD)

Corneal and Contact Management Optometrist
3025 112TH AVE NE STE 200
NPI: 1578132254
13603 NE 36TH PL
NPI: 1750273363