Bryan Randall Costin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

098887 Issued in OH

Practice address

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390

Phone

(440) 695-4010

Fax

(440) 695-4115

NPI assigned

Feb 9, 2009

Last updated

Apr 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northern Ohio Eye Consultants Inc

  dba Cleveland Eye Clinic

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  Medicare reassignment NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716

  Ophthalmology

  NPD

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1871732206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-4010",
            "fax_number": "440-695-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-4010",
            "fax_number": "440-695-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIN",
        "first_name": "BRYAN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "098887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedona Jewel Cope, COTA/L
• Megan Corpas
• Costco Wholesale Corporation (Costco Hearing Aid #343)
• Costco Wholesale Corporation (Costco Pharmacy)
• Costco Wholesale Corporation (Costco Optical #343)
• Emily Coughlin, DO
• Ann Margaret Coyne, OTR/L
• Carolyn B Crowell, DMD
• Claire Cuthbertson
• Michael Czajka

• Ophthalmology Physician in Avon, OH
• Providers in Avon, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.