Paul John Costianes, PAUL COSTIANES, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3405/T756 Issued in OH

Practice address

2600 State Route 59
Ravenna, OH 44266-1646

Phone

(330) 677-4280

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740293398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10172 BISSELL DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872906",
            "telephone_number": "330-963-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STATE ROUTE 59",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661646",
            "telephone_number": "330-677-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIANES",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PAUL COSTIANES, O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3405/T756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jason Cook, D.D.S.
• Emily Cooper Skeriotis
• Brennan Cooper, QMHS
• Tracie Marie Cooper
• Micheline Core Miller
• Dawnettecoulbourne L Coulbourne I
• Vincent Coven, APRN, FNP-C
• Cowboy Healthcare PLLC
• Christina A. Cowsert, B.A.
• Cameron Cox

• Optometrist in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.