Individual
DINO J COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 REGENCY CT, STE 100, TOLEDO, OH 43623-3074
(419) 882-0588
(419) 885-3070
Mailing address
1000 REGENCY CT, STE 100, TOLEDO, OH 43623-3074
(419) 882-0588
(419) 885-3070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191838
ANTHEM
—
01
—
0004281126
AETNA
—
01
—
03214
PARAMOUNT
—
05
—
0827912
—
OH
01
—
1572615
UNITED HEALTHCARE
—
01
—
410045043
RAILROAD MEDICARE
OH
Enumeration date
06/14/2005
Last updated
04/13/2021
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