Individual provider Active NPI

Michael A Golitz, OD

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1447301528
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WA1818 Issued in WA
Practice address
601 Market St
Kirkland, WA 98033-5422
Phone
(425) 822-8204
Fax
(425) 822-8001
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WA1818 WA Primary

Addresses

Primary practice location

601 Market St
Kirkland, WA 98033-5422

Mailing address

601 Market St
Kirkland, WA 98033-5422
Phone (425) 822-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000106 WA Practitioner - Optometry 2264609783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Market St
Kirkland, WA 98033-5422

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WA1818WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye and Contact Lens Center PS CurrentSince Feb 1, 2012 Accepting new patients

Locations

601 Market St
Kirkland, WA 98033
Phone (425) 822-8204

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1447301528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335422",
            "telephone_number": "425-822-8204",
            "fax_number": "425-822-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335422",
            "telephone_number": "425-822-8204",
            "fax_number": "425-822-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLITZ",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.