Individual provider Active NPI

Olga Kotlyar, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1902932221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6443TG Issued in TX
Practice address
3418 Highway 6 S Ste E
Houston, TX 77082-4202
Phone
(281) 589-2955
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6443TG TX Primary

Addresses

Primary practice location

3418 Highway 6 S Ste E
Houston, TX 77082-4202

Mailing address

4010 Linkwood Dr Apt 912
Houston, TX 77025-3471
Phone (713) 218-0487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000797 TX Practitioner - Optometry 2769375831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Yale St
Suite 100B
Houston, TX 77007-3748
Phone (713) 880-3872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6443TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olga Kotlyar, OD, PLLC Optometrist CurrentSince Jul 1, 2012 Accepting new patients
Liaqat a. Khalfe O.D., P.C Optometrist PastSince Mar 10, 2011 Accepting new patients
Olga Kotlyar, OD, PLLC Optometrist PastSince Jul 1, 2012 Accepting new patients

Locations

103 Yale St
Ste 100B
Houston, TX 77007
Phone (713) 515-5626

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902932221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 LINKWOOD DR APT 912",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253471",
            "telephone_number": "713-218-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 HIGHWAY 6 S STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824202",
            "telephone_number": "281-589-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYAR",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6443TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.