Active NPI
Dino J Costa, O.D.
- Optometrist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3988
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0827912 | Medicaid | OH | |
| 000000191838 | Other | ANTHEM | |
| 1572615 | Other | UNITED HEALTHCARE | |
| 410045043 | Other | OH | RAILROAD MEDICARE |
| 03214 | Other | PARAMOUNT | |
| 0004281126 | Other | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 90.25
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3988 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Eye Care Inc | Optometrist | Current | 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
- 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.
-
dba Optical Illusion
- Ophthalmology Physician
- Toledo, OH
- NPI 1720155534
Optometrist
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
- Veronica M Cortez
- Marvana Cortland
- Yvonne Marie Cosey
- Loyal Coshway, MD
- Cosmetic & Family Dental Studios, LLC
- Laura M Costa, M.A., CCC-A
- Costco Wholesale Corporation (Costco Pharmacy)
- Costco Wholesale Corporation (Costco Hearing Aid #1007)
- Costco Wholesale Corporation (Costco Optical #1007)
- Matt Costello, ED.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.