Search › Colorado › 152W00000X
Michael Koditek, O.D
NPI 1366735201 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5900 Keyes St Ste 101
Frederick, CO 80504 - Phone
- (303) 833-1056
- Fax
- (303) 833-1057
- Organisation at this address
- Carbon Valley Eye Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado