OrganizationActive
Carbon Valley Eye Care
NPI 1235558065 · Optometrist · Frederick, CO
Provider details
- NPI number
- 1235558065
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Koditek, President(303) 833-1056
- License
- 2850 (CO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5900 Keyes St Ste 101
Frederick, CO 80504-5956
Phone: (303) 833-1056
Fax: (303) 833-1057
Street-level locationGet directions
Mailing address
5900 Keyes St Ste 101
Frederick, CO 80504-5956
Other names (DBA / former)
- Doing business as
- Carbon Valley Eye Care
- Doing business as
- Carbon Valley Eye Care
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.