Michael Edward Koditek (NPI# 1366735201, PAC ID# 1951562784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1366735201 |
PAC ID by PECOS | 1951562784 |
Professional Enrollment ID | I20120423000056 |
Full Name | Michael Edward Koditek |
Organization Legal Name | MICHAEL E KODITEK OD PC |
Address |
8110 Colorado Blvd S1 Firestone CO 80504-6402 |
Phone Number | 3038331056 |
Gender | M |
Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 2011 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 1557585528 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
8110 Colorado Blvd, S1, Firestone, CO 80504-6402 | 3038331056 | MICHAEL E KODITEK OD PC |
Organization Legal Name | MICHAEL E KODITEK OD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey S Berger | Optometry | Michael E Koditek Od PC | 8110 Colorado Blvd, S1, Firestone, CO 80504-6402 |
Street Address |
8110 COLORADO BLVD S1 |
City | FIRESTONE |
State | CO |
Zip | 80504-6402 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey S Berger | Optometry | Michael E Koditek Od PC | 8110 Colorado Blvd, S1, Firestone, CO 80504-6402 |
Name | Specialty | Organization | Address |
---|---|---|---|
Neka Hafezzadeh | Optometry | 1610 Pace St, Suite 600, Longmont, CO 80504-2240 | |
Joseph M Windler | Chiropractic | 1538 Chukar Dr, Longmont, CO 80504-3302 | |
Linda S Hall-taylor | Psychologist, Clinical | 2353 Provenance St, Longmont, CO 80504-3706 | |
Mary Therese Barrett | Obstetrics/gynecology | 231 E 9th Ave, 1a Centennial Women's Health Center, Longmont, CO 80504-4626 | |
Christopher Edmundson | Physical Therapy | Integral Physical Therapy Pllc | 11169 E I25 Frontage Rd, Suite C, Firestone, CO 80504-5211 |
Scott D Simpson | Physical Therapy | Integral Physical Therapy Pllc | 11169 E I25 Frontage Rd, Suite C, Firestone, CO 80504-5211 |
Grace Kim | Optometry | 2285 E Ken Pratt Blvd, Longmont, CO 80504-5223 | |
Jodi Lee Winicour | Physical Therapy | Integral Physical Therapy Pllc | 11169 E I25 Frontage Rd, Suite B, Firestone, CO 80504-5276 |
Sarah Eller | Certified Registered Nurse Anesthetist (crna) | Northern Colorado Anesthesia Professionals Pllc | 1750 E Ken Pratt Blvd, Ncap Pllc, Longmont, CO 80504-5311 |
Bianca Silva Sarmento | Pulmonary Disease | Poudre Valley Medical Group LLC | 1750 E Ken Pratt Blvd Fl, 3 Uchealth Pulmonology Clinic Longm, Longmont, CO 80504-5311 |
Find all physicians in zip 80504 |
City | FIRESTONE |
Zip Code | 80504 |
Specialty | OPTOMETRY |
City + Specialty | FIRESTONE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.