Organization Active NPI

Olga Kotlyar, OD, PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1306191127
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OLGA KOTLYAR, OD, PLLC
Practice address
10902 Braes Bayou Dr
Houston, TX 77071-1809
Phone
(713) 515-5626
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olga KotlyarNPI 1902932221
Title
Owner
Phone
(713) 515-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10902 Braes Bayou Dr
Houston, TX 77071-1809

Mailing address

103 Yale Street
Suite 100-B
Houston, TX 77007
Phone (713) 515-5626

National Provider Directory

National Provider Directory
Tax ID family
Olga Kotlyar OD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1306191127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 YALE STREET",
            "address_2": "SUITE 100-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "713-515-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10902 BRAES BAYOU DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711809",
            "telephone_number": "713-515-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA KOTLYAR, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KOTLYAR",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-515-2626"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.