Active NPI
Alexander Costin, ABO-C, NCLE-C
- Optician
- Wyoming, MI
National Provider Identifier
1740967967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 250670
- Practice address
- 355 54TH St SW
Wyoming, MI 49548-5614 - Phone
- (616) 552-6228
- Fax
- (616) 534-2909
- NPI assigned
- Jun 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 250670 | MI | |
| Optician | 156FX1800X | 250670 | MI | Primary |
Addresses
Primary practice location
355 54TH St SW
Wyoming, MI 49548-5614
Mailing address
545 Van Allen St SE
Wyoming, MI 49548-1229
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 |
|---|---|---|---|
| 250670 | MI | MD | Contact Lens Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1740967967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 VAN ALLEN ST SE",
"city": "WYOMING",
"state": "MI",
"postal_code": "495481229",
"fax_number": "616-534-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 54TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495485614",
"telephone_number": "616-552-6228",
"fax_number": "616-534-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTIN",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "ABO-C, NCLE-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "MI",
"license": "250670",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MI",
"license": "250670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.