Active NPI
Neha Costanzo, OD
- Optometrist
- North Wales, PA
National Provider Identifier
1427946292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG004270
- Practice address
- 125 Witchwood Dr
North Wales, PA 19454-1833 - Phone
- (215) 583-2068
- NPI assigned
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG004270 | PA | Primary |
Addresses
Primary practice location
125 Witchwood Dr
North Wales, PA 19454-1833
Mailing address
125 Witchwood Dr
North Wales, PA 19454-1833
Phone (215) 583-2068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG004270 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1427946292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WITCHWOOD DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541833",
"telephone_number": "215-583-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WITCHWOOD DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541833",
"telephone_number": "215-583-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANZO",
"first_name": "NEHA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG004270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.