KATE NICOLE STUBBS (OD) – Optometrist, NPI 1912749557

KATE NICOLE STUBBS (OD) is a healthcare provider. based in Long beach, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD61572978 (WA). The NPI Number for KATE NICOLE STUBBS (OD) is 1912749557

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KATE NICOLE STUBBS (OD)
NPI
1912749557
Phone
(360) 642-3214
Address
1703 Pacific Ave S
Enumeration Date
12 June 2024
Last Update Date
30 June 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3606423214
Graduation Year
2024 (2 years ago)
PAC ID
3971048059
Group Practice PAC ID
9739161902
Professional Enrollment ID
I20240712002541
Address ID
WA986313400LO1703XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for KATE NICOLE STUBBS (OD)

  • 1703 Pacific Ave S

    Long Beach, WA 986313400

    Phone: (360) 642-3214

    Type: Location

  • 819 S Holladay Dr

    Seaside, OR 971386608

    Phone: (503) 738-5361

    Type: Location

  • 553 18TH ST

    ASTORIA, OR 971033505

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Alcon Vision LLC ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$44
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: 2024-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240712002541IOptometryWATBD
I20240716002538IOptometryORTBD

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 98631)

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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: 9739161902View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YWA

Reviews

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Frequently asked questions

Can I use this page to confirm KATE NICOLE STUBBS (OD)'s NPI?
Yes. KATE NICOLE STUBBS (OD) is listed with NPI 1912749557 in the public NPI dataset.
Is KATE NICOLE STUBBS (OD) listed as active for patients and plans?
The listing shows KATE NICOLE STUBBS (OD) as active in the NPI system.
What taxonomy line describes KATE NICOLE STUBBS (OD)?
For research purposes, treat KATE NICOLE STUBBS (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does KATE NICOLE STUBBS (OD) list a practice location?
Patients near Long Beach, Washington may find KATE NICOLE STUBBS (OD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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