Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Edward Koditek, OD

Individual provider Optometrist · NPI 1366735201

Mr. Michael Edward Koditek, OD is an Optometry in Frederick, Colorado. Graduated from Pacific University - College of Optometry in 2011, 15 years ago. Practices with Carbon Valley Eye Care, a 4-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
15
Trained at
Pacific University - College of Optometry
Licensed in
CO
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5900 Keyes St Ste 101
Frederick, CO 80504-5956
Phone: (303) 833-1056
Fax: (303) 833-1057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2850 (CO)

Record details

NPI number1366735201
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address5900 Keyes St Ste 101, Frederick, CO 80504-5956

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Carbon Valley Eye Care — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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