MICHAEL W COSTA (NPI# 1083642771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083642771 |
| Entity Type | Individual |
| Full Name | MICHAEL W COSTA |
| Credential | OD |
| Practice Address |
171 N Main St Waterbury CT 06702-1405 |
| Practice Telephone | 2037548413 |
| Mailing Telephone | 2037548413 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 000981 | CT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528422680 | Michael Costa | Behavioral Analyst | 1144 Langhorn St, Lancaster, CA 93535-2794 | 2016-04-05 |
| 1629183108 | Michael Thomas Costa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29715-7134 | 2006-08-21 |
| 1144252529 | Michael E Costa | Dentist | 100 Slocum Dr, King Cove, AK 99612 | 2006-07-07 |
| 1538199005 | Michael E Costa | Acupuncturist | 9300 S Dixie Hwy, Miami, FL 33156-2935 | 2006-07-03 |
| 1598304354 | Michael A Costa | Pharmacist | 1 Hawley Ln, Stratford, CT 06614-1200 | 2019-12-26 |
| 1184278244 | Michael Costa Jr. | Physical Therapy Assistant | 1251 White Mountain Hwy, North Conway, NH 03860-5154 | 2019-07-27 |
| 1710346663 | Michael Costa | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2016-02-21 |
| 1851705834 | Michael J Costa Jr. | Dentist | 2d Denbn/ndc Psc 20130 315 Mchugh Blvd, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2014-06-17 |
| 1043480551 | Michael Louis Costa | Dentist | 62 Hart Blvd, Staten Island, NY 10301-2613 | 2008-03-11 |
| 1033314653 | Michael John Costa | Pathology | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-06-15 |
| Street Address |
171 N MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750403051 | Waterbury Eye Associates LLC | Optometrist | 171 N Main St, Waterbury, CT 06702-1405 | 2007-04-06 |
| 1821002346 | Robert Alexander Buck | Optometrist | 171 N Main St, Waterbury, CT 06702 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477097285 | Oec Waterbury LLC | Optometrist | 3528 E Main St, Waterbury, CT 06705-3873 | 2016-12-13 |
| 1386939510 | Fabian Cesar Villacis | Optometrist | 1320 W Main St Ste 3, Waterbury, CT 06708-3129 | 2011-06-15 |
| 1801966601 | Barbara Hope Kuznesof-knee | Optometrist | 910 Wolcott St., C/o Walmart Vision Center, Waterbury, CT 06705 | 2006-11-09 |
| 1508947029 | Kimberly Sue Owens | Optometrist | 910 Wolcott Street, Vision Center, Waterbury, CT 06705 | 2006-10-18 |
| 1497865729 | Domenico Trocchi | Optometrist | 481 Wolcott St, Waterbury, CT 06705-1247 | 2006-08-30 |
| 1104930619 | John Joseph Pulaski | Optometrist | 625 Wolcott St, Waterbury, CT 06705-1342 | 2006-08-19 |
| 1528018157 | Shannon M Mulligan | Optometrist | 604 Lakewood Rd, Waterbury, CT 06704-2419 | 2006-05-12 |
| 1083615850 | Audrey S Fung | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2005-08-03 |
| 1841298080 | Thomas W Meaker | Optometrist | 31 N Main St, Waterbury, VT 05676-1835 | 2005-07-12 |
| 1487268702 | Clarity Eye Care LLC | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2020-09-03 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.