DR. MICHAEL KOTLICKY O.D. NPI 1093889024

NPI Information

NPI: 1093889024
Provider Name: DR. MICHAEL KOTLICKY, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
8827 COLUMBIA 100 PKWY STE 3
THE SIGNATURE CENTRE
COLUMBIA, MD
ZIP 21045
Phone: (410) 730-5808
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DR. Michael Kotlicky, O.D. is a vision therapy optometrist in Columbia, MD. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Michael Kotlicky, O.D. NPI is 1093889024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8827 COLUMBIA 100 PKWY STE 3
THE SIGNATURE CENTRE
COLUMBIA, MD
ZIP 21045-178
Phone: (410) 730-5808
Fax: (410) 730-5893

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WV0400X	Optometrist	Vision Therapy	TA0750	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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