Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL KOTLICKY, O.D.
ActiveDR. MICHAEL KOTLICKY, O.D. is a Vision Therapy Optometrist healthcare provider located in COLUMBIA, Maryland. NPI 1093889024 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · COLUMBIA, MD
Registration Details
- NPI Number
- 1093889024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.751630637239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TA0750 (MD)
Practice Information
- Address
-
8827 COLUMBIA 100 PKWY STE 3THE SIGNATURE CENTRECOLUMBIA, MD, 210452178Browse MD providers · Browse ZIP 21045
- Phone
- 4107305808
- Fax
- 4107305893
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.