DR. JAMES PATRICK COSTELLO (NPI# 1740386887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740386887 |
| Entity Type | Individual |
| Full Name | DR. JAMES PATRICK COSTELLO |
| Credential | O.D. |
| Practice Address |
3217 Lake Ave Wilmette IL 60091-1080 |
| Practice Telephone | 8472568100 |
| Practice Fax Number | 8472568102 |
| Mailing Telephone | 8472568100 |
| Mailing Fax Number | 8472568102 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152W00000X | Optometrist | IL | Eye and Vision Services Providers | |
| X | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
IL | Eye and Vision Services Providers | |
| X | 152WP0200X |
Optometrist Specialization: Pediatrics |
IL | Eye and Vision Services Providers | |
| X | 152WS0006X |
Optometrist Specialization: Sports Vision |
IL | Eye and Vision Services Providers | |
| X | 152WV0400X |
Optometrist Specialization: Vision Therapy |
IL | Eye and Vision Services Providers | |
| X | 152WX0102X |
Optometrist Specialization: Occupational Vision |
IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881021723 | James Costello | Durable Medical Equipment & Medical Supplies | 110 Adams St, Saratoga Springs, NY 12866-5002 | 2013-10-10 |
| 1457600041 | James Paul Costello | Dentist | 862 Shellbark Way, The Villages, FL 32162-4075 | 2012-08-29 |
| 1811190515 | James Costello | Chiropractor | 4615 I- 45 North Freeway Ste#208, Houston, TX 77022 | 2007-06-08 |
| 1144733981 | James Jay Costello | Counselor | 1 Kellogg Cir, Emporia, KS 66801-5415 | 2017-11-15 |
| 1033649959 | James Costello | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Stratford, NJ 08084 | 2017-06-13 |
| 1851711717 | James Michael Costello | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2014-04-18 |
| 1215115233 | James Robert Costello | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2008-01-31 |
| 1760498901 | James W. Costello | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-07-31 |
| 1801883236 | James Costello | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| Street Address |
3217 LAKE AVE |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568511665 | Clyde H Ono | Dentist | 3217 Lake Ave, Wilmette, IL 60091-1080 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| 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 |
|---|---|---|---|---|
| 1831402130 | Andrew Eric Kohn | Optometrist | 1125 Greenleaf Ave, Wilmette, IL 60091-2708 | 2010-07-15 |
| 1558413955 | Elena A. Katz | Optometrist | 1146 Central Ave, Wilmette, IL 60091-2621 | 2007-01-17 |
| 1215433818 | Wilmette Eye Care LLC | Optometrist | 1125 Greenleaf Ave, Wilmette, IL 60091-2708 | 2018-04-03 |
| 1326055146 | Richard Schrenzel | Optometrist | 1515 Sheridan Rd, Wilmette, IL 60091-1822 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.