Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL EDWARD KODITEK, O.D.
Active Sole ProprietorMR. MICHAEL EDWARD KODITEK, O.D. is a Optometrist healthcare provider located in FREDERICK, Colorado. NPI 1366735201 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FREDERICK, CO
Registration Details
- NPI Number
- 1366735201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2011 (15.207772415764 yrs)
- Last Updated
- Mar 13, 2020
- License
-
2850 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5900 KEYES ST STE 101FREDERICK, CO, 805045956Browse CO providers · Browse ZIP 80504
- Phone
- 3038331056
- Fax
- 3038331057
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FREDERICK, CO
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY BERGER | O.D. | 1700018256 |
| DR. MICHAEL ANDREW BAGLEY | OD | 1114380482 |
| TAYLOR KIYOTA JACKSON | OD | 1275158404 |
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.