DR. MICHAEL KOTLICKY (NPI# 1093889024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093889024 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KOTLICKY |
| Credential | O.D. |
| Practice Address |
8827 Columbia 100 Pkwy Ste 3 The Signature Centre Columbia MD 21045-2178 |
| Practice Telephone | 4107305808 |
| Practice Fax Number | 4107305893 |
| Mailing Telephone | 4107305808 |
| Mailing Fax Number | 4107305893 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
TA0750 | MD | Eye and Vision Services Providers |
| Street Address |
8827 COLUMBIA 100 PKWY STE 3 THE SIGNATURE CENTRE |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447349873 | Midwest Vision Care, LLC | Optometrist | 915 N Main St, Suite 1, Columbia, IL 62236-1136 | 2006-10-12 |
| 1801830146 | Focus Eye Care Center, PC | Optometrist | 1620 Browning Rd, Columbia, SC 29210 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316419773 | Center for Vision Development and Rehabilitation | Optometrist | 164 W Main St Ste B, New Market, MD 21774-6279 | 2018-12-26 |
| 1356413397 | Nancy B. Lewis | Optometrist | 9215 Colesville Rd, Silver Spring, MD 20910-1657 | 2006-11-14 |
| 1124401955 | Dr. Nancy B. Lewis, P.a. | Optometrist | 9215 Colesville Rd, Silver Spring, MD 20910-1657 | 2015-06-29 |
| 1679971014 | Appelbaum Eyecare Associates | Optometrist | 6509 Democracy Blvd, Bethesda, MD 20817-1639 | 2014-12-17 |
| 1629201991 | The Center for Vision Development, LLC | Optometrist | 509 S Cherry Grove Ave Ste C, Annapolis, MD 21401-4235 | 2009-09-02 |
| 1881822609 | Bryce B. Appelbaum | Optometrist | 6509 Democracy Blvd, Bethesda, MD 20817-1639 | 2009-07-01 |
| 1548311640 | Modern Eyes, LLC | Optometrist | 108 Olde Towne Ave, Ste. 16, Gaithersburg, MD 20877-2095 | 2007-01-15 |
| 1780757047 | Daniel James Cunningahm | Optometrist | 6509 Democracy Blvd, Bethesda, MD 20817-1639 | 2006-11-16 |
| 1699847897 | Stanley A. Appelbaum | Optometrist | 6509 Democracy Blvd, Bethesda, MD 20817-1639 | 2006-11-14 |
Please comment or provide details below to improve the information on DR. MICHAEL KOTLICKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.