Active NPI
Olga Kotlyar, OD, PLLC
- Optometrist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6443TG
- Legal business name
- OLGA KOTLYAR, OD, PLLC
- Practice address
- 103 Yale Street
Suite 100 B
Houston, TX 77007 - Phone
- (713) 515-5626
- Fax
- (281) 890-9938
- NPI assigned
- Jun 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olga Kotlyar, O.D.
- Title
- Optometrist
- Phone
- (713) 515-5626
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6443TG | TX | Primary |
Addresses
Primary practice location
103 Yale Street
Suite 100 B
Houston, TX 77007
Mailing address
10902 Braes Bayou Dr
Houston, TX 77071-1809
Phone (713) 515-5626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Olga Kotlyar OD PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Houston, TX
- NPI 1306191127
Locations
103 Yale St
Ste 100B
Houston, TX 77007
Phone (713) 515-5626
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1902932221
-
- Optometrist
- La Jolla, CA
- NPI 1700194040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1780947267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10902 BRAES BAYOU DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770711809",
"telephone_number": "713-515-5626",
"fax_number": "281-890-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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",
"fax_number": "281-890-9938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLGA KOTLYAR, OD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "KOTLYAR",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "713-515-5626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "6443TG",
"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 Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.