Jennifer M Costales, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002338 Issued in PA

Practice address

100 N Walnut St
Mechanicsburg, PA 17055-3364

Phone

(717) 628-3693

NPI assigned

Jul 6, 2010

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Lehman Former name

Medicare fee-for-service enrollment

Enrolled in GA, PA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sans Pareil EyecareGroup PAC ID 7012172869, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Sans Pareil Eyecare

  dba Wheatlyn EyeCare

  • Corneal and Contact Management Optometrist
  • Manchester, PA
  • NPI 1346506250
  Medicare reassignment Care Compare group NPD
• Low Country Eye Associates, PC

  dba Low Country Eye Care

  • Optometrist
  • Pooler, GA
  • NPI 1225173578
  Medicare reassignment NPD
• James P. Tuttle, OD

  dba Wheatlyn EyeCare

  • Optometrist
  • Manchester, PA
  • NPI 1255424545
  NPD (past)
• Southcoast Medical Group, LLC

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1467451922
  NPD (past)

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1265744379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 WALDEN WAY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170504105",
            "telephone_number": "724-992-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553364",
            "telephone_number": "717-628-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTALES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002590",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheree A Contres, PSYD
• Thomas W Cook, DMD
• D. Brant Copeland, R.PH.
• Brian Michael Corbally, D.O.
• Core Plus Pelvic Therapy LLC
• Costco Wholesale Corporation (Costco Optical #1719)
• Costco Wholesale Corporation (Costco Pharmacy #1719)
• Costco Wholesale Corporation (Costco Hearing Aid #1719)
• Kelly Costello
• Cheryl Cotton

• Optometrist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.