DR. MICHAEL KOTLICKY O.D. NPI 1093889024

NPI Information

  • NPI: 1093889024
  • Provider Name: DR. MICHAEL KOTLICKY, O.D.
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8827 COLUMBIA 100 PKWY STE 3
    THE SIGNATURE CENTRE
    COLUMBIA, MD
    ZIP 21045
  • Phone: (410) 730-5808

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NPI Details

DR. Michael Kotlicky, O.D. is a vision therapy optometrist in Columbia, MD. The provider is 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. DR. Michael Kotlicky, O.D. NPI is 1093889024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8827 COLUMBIA 100 PKWY STE 3
THE SIGNATURE CENTRE
COLUMBIA, MD
ZIP 21045-178
Phone: (410) 730-5808
Fax: (410) 730-5893

The NPI 1093889024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision TherapyTA0750MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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