MS. STEPHANIE KITAMURA (NPI# 1366444069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366444069 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE KITAMURA |
| Credential | O.D. |
| Practice Address |
12301 Ne 10th Pl Ste 200 Bellevue WA 98005-2487 |
| Practice Telephone | 4254502020 |
| Practice Fax Number | 4256880620 |
| Mailing Telephone | 4254502020 |
| Mailing Fax Number | 4256880620 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
00003633 | WA | Eye and Vision Services Providers |
| Street Address |
12301 NE 10TH PL STE 200 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932596988 | Michael J Gilbert | Ophthalmology | 12301 Ne 10th Pl Ste 200, Bellevue, WA 98005-2487 | 2015-04-16 |
| 1184032864 | Jing Zeng Wickenburg | Optometrist | 12301 Ne 10th Pl Ste 200, Bellevue, WA 98005-2487 | 2014-07-25 |
| 1043572738 | Ryan Grant Hayes | Optometrist | 12301 Ne 10th Pl Ste 200, Bellevue, WA 98005-2487 | 2012-06-09 |
| 1659441160 | Northwest Vision Institute, Pllc | Eyewear Supplier (Equipment, not the service) | 12301 Ne 10th Pl Ste 200, Bellevue, WA 98005-2487 | 2006-11-09 |
| 1215955901 | William Winston Waugh Sr. | Ophthalmology | 12301 Ne 10th Pl Ste 200, Bellevue, WA 98005-2487 | 2006-07-18 |
| 1386646065 | Michael L Gilbert | Ophthalmology | 12301 Ne 10th Pl Ste 200, Bellevue, WA 98005-2487 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568579225 | Contact Lens Consultants Northwest | Optometrist | 4317 Factoria Blvd Se, Suite A, Bellevue, WA 98006-1937 | 2006-08-25 |
| 1982935953 | Mark H Cohn, Od, Ps | Optometrist | 15650 Ne 24th St, Suite B, Bellevue, WA 98008-2460 | 2010-01-14 |
| 1831294503 | Caroline Kaufman | Optometrist | 4317 Factoria Blvd Se, Suite A, Bellevue, WA 98006-1937 | 2006-09-14 |
| 1326041666 | Mark Christopher Barry | Optometrist | 1837 156th Ave Ne, Bellevue, WA 98007-4387 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639314206 | Vision Clinic Inc | Optometrist | 4008 Lovell Rd, Wenatchee, WA 98801 | 2008-12-10 |
| 1689857690 | Mayemura, Inc. | Optometrist | 9610 Evergreen Way, Ste. A, Everett, WA 98204-7102 | 2007-12-12 |
| 1023221132 | Cindy Hung | Optometrist | 407 Baker Blvd, Tukwila, WA 98188-2906 | 2007-05-07 |
| 1316164965 | Scott David Hansen Od PC | Optometrist | 12120 E Mission Ave Ste 2, Spokane Valley, WA 99206-5378 | 2007-04-18 |
| 1689898777 | Eyecare Partners, Pllc | Optometrist | 126 E Second Street, North Bend, WA 98045 | 2007-04-12 |
| 1831212851 | John A Harden | Optometrist | 16821 Smokey Point Blvd # 314, Arlington, WA 98223-8407 | 2007-04-06 |
| 1811023732 | Longview Eye & Vision | Optometrist | 180 3rd Street, Cathlamet, WA 98612 | 2007-02-26 |
| 1245365519 | Joseph Wallace Braun | Optometrist | 4750 N Division St Ste 126, Northtown Vision Clinic, Spokane, WA 99207-1406 | 2007-02-23 |
| 1114078235 | Jaclyn T Phan | Optometrist | 1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570 | 2007-01-16 |
| 1396807947 | Lisa Ann Depietto | Optometrist | 15118 Main St, Suite 600, Mill Creek, WA 98012-1653 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.