Individual provider Active NPI

Caitlin Elizabeth Golberg, OD

  • Optometrist
  • Everett, WA
National Provider Identifier
1093079915
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60687018 Issued in WA
Practice address
3802 Colby Ave
Everett, WA 98201-4940
Phone
(425) 339-5436
Fax
(425) 339-5402
NPI assigned
Jun 25, 2012
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005782 MI
Optometrist 152W00000X 14445 CA
Optometrist 152W00000X OD60687018 WA Primary

Addresses

Primary practice location

3802 Colby Ave
Everett, WA 98201-4940

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5436

Other practice location 1

University Of California School Of Optometry
200 Minor Hall
Berkeley, CA 94720-0001
Phone (510) 642-2020

Other identifiers 1

IdentifierTypeStateIssuer
2069922MedicaidWA

Other names 1

  • Caitlin Walsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MN, NE, MI, IA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20161003002110 WA Practitioner - Optometry 7911148069 Reassigns benefits to 2 organizations
I20230420003146 MN Practitioner - Optometry 7911148069 Reassigns benefits to 4 organizations
I20230925002140 NE Practitioner - Optometry 7911148069 Reassigns benefits to 1 organization
I20250113003118 MI Practitioner - Optometry 7911148069 Reassigns benefits to 2 organizations
I20251106002843 IA Practitioner - Optometry 7911148069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1979 Marcus Ave
Suite 206
New Hyde Park, NY 11042-1068

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1627NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DJ-MN Inc CurrentSince Sep 3, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
DJ-MN Inc Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Dec 9, 2024 Accepting new patients
Visionworks, Inc Optometrist CurrentSince Jan 15, 2025 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Dec 9, 2024 Accepting new patients
International Eyecare Center Inc Optometrist CurrentSince Sep 20, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
DJ-MN Inc CurrentSince Sep 3, 2023 Accepting new patients
Northeastern Washington Eyecare Optometrist CurrentSince Nov 10, 2025 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Visionworks, Inc CurrentSince Dec 3, 2023 Accepting new patients
International Eyecare Center LLC Optometrist CurrentSince Sep 20, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 3, 2023 Accepting new patients
Vision Pro II Inc Optometrist CurrentSince Jun 28, 2023 Accepting new patients
Fenno Eye Clinics Inc., P.S. Optometrist Past Accepting new patients
Regents of the University of California at Berkeley Optometrist PastSince Jun 7, 1991 Accepting new patients
Lewis County Eye & Vision, Inc., P.S. Past Accepting new patients
Valley Cities Counseling and Consultation PastSince Oct 18, 2021 Accepting new patients

Locations (25 of 30)

1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145

65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003

1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424

755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004

1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

855 Olds St
Jonesville, MI 49250
Phone (515) 849-2200

2067 S Drake Rd
Kalamazoo, MI 49006
Phone (269) 366-3664

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

6123 S Westnedge Ave
Portage, MI 49002
Phone (269) 327-7079

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

500 S Centerville Rd
Sturgis, MI 49091
Phone (269) 651-1958

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

22750 Allen Rd
Woodhaven, MI 48183
Phone (734) 676-4300

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

435 S Grove St
Ste 2
Blue Earth, MN 56013
Phone (507) 235-5323

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

6487 Cedar Hills Dr
Cannon Falls, MN 55009
Phone (507) 263-3949

1344 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 728-6211

147 W Pearl St
Owatonna, MN 55060
Phone (507) 451-5300

352 S Main St
Zumbrota, MN 55992
Phone (507) 732-5013

10114 Maple St
#1070
Omaha, NE 68134
Phone (402) 391-6600

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1093079915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-339-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014940",
            "telephone_number": "425-339-5436",
            "fax_number": "425-339-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of California School Of Optometry",
            "address_2": "200 Minor Hall",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947200001",
            "country_code": "US",
            "telephone_number": "510-642-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLBERG",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005782",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14445",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60687018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "WALSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.