npidexNPI registry + Medicare data

MICHAEL KOTLICKY, O.D.

Vision Therapy Optometrist · COLUMBIA, MD

Individual Active Opted out of Medicare NPI 1093889024

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Vision Therapy Optometrist152WV0400X✓TA0750MD

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Optometry), effective 2020-04-01 through 2028-04-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.