MR. MICHAEL EDWARD KODITEK


Address: 5900 Keyes St Ste 101, Frederick, CO 80504-5956
Phone: 3038331056

MR. MICHAEL EDWARD KODITEK (NPI# 1366735201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366735201
Entity Type Individual
Full Name MR. MICHAEL EDWARD KODITEK
Credential O.D.
Practice Address 5900 Keyes St Ste 101
Frederick
CO 80504-5956
Practice Telephone 3038331056
Practice Fax Number 3038331057
Mailing Telephone 3038331056
Mailing Fax Number 3038331057
Enumeration Date 2011-05-25
Last Update Date 2020-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2850 CO Eye and Vision Services Providers

Office Location

Street Address 5900 KEYES ST STE 101
City FREDERICK
State CO
Zip Code 80504-5956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700018256 Jeffrey Berger Optometrist 5900 Keyes St Ste 101, Frederick, CO 80504-5956 2009-08-18
1275158404 Taylor Kiyota Jackson Optometrist 5900 Keyes St Ste 101, Frederick, CO 80504-5956 2020-06-13
1235558065 Carbon Valley Eye Care Optometrist 5900 Keyes St Ste 101, Frederick, CO 80504-5956 2014-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942776620 Cinde S Yoho Social Worker 9485 County Road 15, Firestone, CO 80504 2018-10-19
1427544881 Thousand Peaks Healthcare, Inc. In Home Supportive Care 310 Lashley St Ste 109, Longmont, CO 80504 2018-07-09
1962913962 Melissa Frick Counselor 10184 E I-25 Frontage Rd, Firestone, CO 80504 2017-10-17
1558757260 Firestone Pediatric Dentistry and Orthodontics Dentist 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 2015-04-09
1912392671 Ashley Lerwick Speech-Language Pathologist 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 2015-03-31
1780077685 Roger Leon Jorgensen Ophthalmology 14222 N 95 Si, Longmont, CO 80504 2015-03-17
1982942090 Carrie Rose Fitzekam Technician 712 Tanagers Circle, Longmont, CO 80504 2013-01-24
1003166976 Jennifer Lynn Mcnerney Speech-Language Pathologist 8197 Miller Dr, Frederick, CO 80504 2012-09-18
1821343450 Allison Luellen Physician Assistant 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 2012-07-19
1609132109 Abby Elizabeth Bohall Speech-Language Pathologist 5132 Mt Buchanan Ave, Frederick, CO 80504 2012-04-09
Find all providers in zip 80504

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124650916 National Vision Inc Optometrist 7256 Guilford Dr, Frederick, MD 21704-5167 2020-02-10
1861902959 Kenny Chen Optometrist 5283 Corporate Dr Ste 201, Frederick, MD 21703 2017-10-03
1720436553 Myeyedr Optometry of Maryland, LLC Optometrist 5500 Buckeystown Pike Ste 892, Frederick, MD 21703-9441 2016-06-02
1659760098 Longmeadow Optical Optometrist 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 2015-01-22
1972825388 Eugene Stephan Channing Optometrist 166 Baughman's Lane, Channing Vision-eye Care, Inc., Frederick, MD 21702-4083 2010-02-26
1700018256 Jeffrey Berger Optometrist 5900 Keyes St Ste 101, Frederick, CO 80504-5956 2009-08-18
1003083486 Cerella F Rainey Optometrist 5500 Buckeystown Pike Ste 876, Frederick, MD 21703-9441 2008-05-14
1861683872 Eye To Eye of Frederick Inc Optometrist 2060 Yellow Springs Rd Ste 104, Frederick, MD 21702-2322 2007-08-05
1003024795 Channing Vision Eye Care Inc Optometrist 166 Baughmans Lane, Frederick, MD 21702-4083 2007-05-18
1386857100 Jennifer Lyn Chen Optometrist 10534 Liberty Rd, Frederick, MD 21701-2626 2007-05-08
Find all providers in FREDERICK

Competitor

Search similar providers

City FREDERICK
Zip Code 80504

Improve Information

Please comment or provide details below to improve the information on MR. MICHAEL EDWARD KODITEK.

Dataset Information

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.

Trending Searches