Eye and Contact Lens Center PS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

WA1818 Issued in WA

Legal business name

EYE AND CONTACT LENS CENTER PS

Practice address

601 Market St
Kirkland, WA 98033-5422

Phone

(425) 822-8204

Fax

(425) 822-8001

NPI assigned

Apr 25, 2012

Last updated

Oct 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Anthony GolitzNPI 1447301528

Title

President

Phone

(425) 822-8204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Golitz, OD

  • Optometrist
  • Kirkland, WA
  • NPI 1447301528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1629336847",
    "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": {
        "organization_name": "EYE AND CONTACT LENS CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "GOLITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-822-8204",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "WA1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreenhealth Value Network, LLC
• Evergreenhealthcare
• Anna Marinda Evershed, N.D.
• Execmed, LLC
• Expert Bpo LLC.
• Eye Associates Northwest, PLLC (Evergreen Optical)
• Eyedentity, Inc.
• Nathan Ezell
• Jayne Porsha Fabian Hamilton, RN, BSN
• Micayla Sarah Fadiga

• Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.