Individual provider Active NPI

Dino J Costa, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1659376978
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3988 Issued in OH
Practice address
1000 Regency CT
Ste 100
Toledo, OH 43623-3074
Phone
(419) 882-0588
Fax
(419) 885-3070
NPI assigned
Jun 14, 2005
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3988 OH Primary

Addresses

Primary practice location

1000 Regency CT
Ste 100
Toledo, OH 43623-3074

Mailing address

1000 Regency CT
Ste 100
Toledo, OH 43623-3074
Phone (419) 882-0588

Other identifiers 6

IdentifierTypeStateIssuer
0827912MedicaidOH
000000191838OtherANTHEM
1572615OtherUNITED HEALTHCARE
410045043OtherOHRAILROAD MEDICARE
03214OtherPARAMOUNT
0004281126OtherAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcosta@associatedeye.imwdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000806 OH Practitioner - Optometry 8325089121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care IncGroup PAC ID 0547201444, 6 clinicians

Practice addresses (Care Compare)

1000 Regency CT
Suite 100
Toledo, OH 43623-3074
Phone (419) 882-0588

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as individual
Quality
90.25
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3988OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care Inc Optometrist CurrentSince Mar 5, 2001 Accepting new patients

Locations

960 W Wooster St
Ste 216
Bowling Green, OH 43402
Phone (419) 352-5500

1000 Regency Ct
Ste 100
Toledo, OH 43623
Phone (419) 882-0588

Interoperability endpoints

  • Direct secure messaging: dcosta@associatedeye.imwdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1659376978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT",
            "address_2": "STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-882-0588",
            "fax_number": "419-885-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT",
            "address_2": "STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-882-0588",
            "fax_number": "419-885-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "DINO",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827912",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000191838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1572615",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045043",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004281126",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcosta@associatedeye.imwdirect.com",
            "affiliation": "N",
            "address_1": "1000 Regency Ct",
            "address_2": "Ste 100",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436233074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.