Cesar A Costales, OD, MHA, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002337 Issued in PA

Practice address

300 E Hospital Road
Fort Gordon, GA 30905

Phone

(706) 787-7300

NPI assigned

Jul 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cesar A Costales Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1134431653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL ROAD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL ROAD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTALES",
        "first_name": "CESAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD, MHA, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CESAR",
            "last_name": "COSTALES",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD, MHA, FAAO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christian Clarke Conlon, MD
• Ramon Contreras, PT, DPT
• Ronald Gene Cook, DPH
• Randolph D Cooke, PH.D.
• Nathanial Kelsey Copeland, MD, MTM&H
• Jennifer Jordan Cote, DMD
• Lemuel Lee Covington, D.M.D.
• Mark Stephen Craig
• Jameika Crawford-Dicks, FNP
• Hunter Elizabeth Crawley, DO

• Optometrist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.