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Individual
DR. GARY S KOTS
Active
Individual
DR. GARY S KOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003171
MI
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901003171
MI
152WL0500X
Low Vision Rehabilitation Optometrist
4901003171
MI
152WP0200X
Pediatric Optometrist
4901003171
MI
152WV0400X
Vision Therapy Optometrist
4901003171
MI
Other
Enumeration date
10/26/2011
Last updated
05/09/2019
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