Individual provider · Type 1 NPI
Michael Kotlicky, OD
Vision Therapy Optometrist · Columbia, MD
NPI number
1093889024
Active
Practice location
8827 Columbia 100 Pkwy Ste 3, The Signature Centre
Columbia, MD 21045-2178
Fax (410) 730-5893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vision Therapy Optometrist Primary | 152WV0400X | TA0750 (MD) |
Vision Therapy Optometrist: 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.
About NPI 1093889024
Michael Kotlicky, OD's National Provider Identifier is 1093889024, issued on Nov 20, 2006. The primary taxonomy on file is Vision Therapy Optometrist (152WV0400X), and the practice location is in Columbia, MD. The record was last updated on Jul 8, 2007.