Costa, Dino J

Costa, Dino J is an individual health care provider with primary practice located at 1000 Regency Ct Ste 100, Toledo OH 43623-3074. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Costa, Dino J can be contacted via phone (419) 882-0588.

Contact Information

Primary practice address
1000 Regency Ct Ste 100 Toledo OH 43623-3074
Phone: (419) 882-0588
Fax: (419) 885-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3988 Ohio

Profile Details

NPI number 1659376978
LBN Legal business name Costa, Dino J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659376978 NPPES
Other 000000191838 ANTHEM
Other 03214 ANTHEM
MEDICAID 0827912 ANTHEM
Other 0004281126 ANTHEM
Other 410045043 ANTHEM
Other 1572615 ANTHEM

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