# COSTELLO EYE PHYSICIANS & SURGEONS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699785832
- **Authorized official:** JOHN J COSTELLO JR. DO (PARTNER)
- **Authorized official phone:** (315) 363-1110

## Contact information

- **Practice address:** 578 SENECA ST, ONEIDA, NY 13421-2600
- **Practice address phone:** (315) 363-1110
- **Practice address fax:** (315) 363-4441
- **Mailing address:** 1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
- **Mailing address phone:** (315) 472-1488
- **Mailing address fax:** (315) 472-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 07/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02887589 | — | NY |