National Provider Identifier Database

ALEXANDER COSTIN, ABO-C, NCLE-C – NPI #1740967967
Optician


Contact Information

ALEXANDER COSTIN, ABO-C, NCLE-C
355 54TH ST SW
WYOMING, MI49548-5614
Phone: 616-552-6228
Fax: 616-534-2909
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens 156FC0800X

* Indicates primary specialty

NPI Profile & details for ALEXANDER COSTIN

NPI Number 1740967967
Credentials ABO-C, NCLE-C
Entity Individual
Enumeration date 06/29/2023
Last updated 02/23/2026 - About 3 months ago
Sole proprietor1 No
Identifiers
  • MI License #: 250670
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ALEXANDER COSTIN, ABO-C, NCLE-C

There are currently no reviews for ALEXANDER COSTIN, ABO-C, NCLE-C


NPIdb - Home
v2.201