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Mr. Michael Edward Koditek, O.D.

Mr. Michael Edward Koditek is a Optometrist provider (Optometrist) practicing in Frederick, CO, registered in the NPPES registry with NPI 1366735201 since 2011. The credential OD stands for Doctor of Optometry. Practices at Carbon Valley Eye Care (listed at the same practice address in NPPES).

✓ Active NPI ✓ Valid NPI checksum Sole proprietor

NPI 1366735201
Entity type Individual (Type 1)
Name Mr. Michael Edward Koditek
Credential O.D.
Sex Male
Practice address Frederick, CO, 80504
Phone 3038331056
Fax 3038331057
Enumeration date 2011-05-25
Last updated in NPPES 2020-03-13

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

Taxonomy code Specialty Primary License State
152W00000X Optometrist Primary 2850 CO

OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Copy-ready billing details
Provider: Michael Koditek, O.D.
NPI: 1366735201
Taxonomy: 152W00000X (Optometrist)
Address: Frederick, CO, 80504

Other providers at this practice address

NPI Name Type Specialty Location
1700018256 Jeffrey Berger Individual Optometrist Frederick, CO
1235558065 Carbon Valley Eye Care Organization Optometrist Frederick, CO
1114380482 Michael Bagley Individual Optometrist Frederick, CO
1275158404 Taylor Jackson Individual Optometrist Frederick, CO

Verify this record

Cross-check NPI 1366735201 against the authoritative CMS record: view Mr. Michael Edward Koditek on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where does Michael Koditek practice?
The practice location on file with NPPES is in Frederick, CO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michael Koditek?
The National Provider Identifier (NPI) for Michael Koditek is 1366735201, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-13.