DR. ANGELA FAHEY COSTA (NPI# 1437169810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437169810 |
| Entity Type | Individual |
| Full Name | DR. ANGELA FAHEY COSTA |
| Credential | O.D. |
| Practice Address |
138 E Reynolds Rd Suite #101 Lexington KY 40517-1257 |
| Practice Telephone | 8592732020 |
| Practice Fax Number | 8592728089 |
| Mailing Telephone | 8592732020 |
| Mailing Fax Number | 8592728089 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1661DT | KY | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
1661DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | STATE LICENSURE | 1661DT | 01 |
| GA | GEORGIA LICENSE | OPT002576 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037097 | Angela Costa | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2017-11-30 |
| 1306226410 | Angela Pumehana Costa | Behavioral Analyst | 234 Waianuenue Ave Ste 215, Hilo, HI 96720-2418 | 2015-06-03 |
| 1598185126 | Angela Costa | Pediatrics | 2900 Lamb Cir, Christiansburg, VA 24073-6344 | 2014-04-22 |
| Street Address |
138 E REYNOLDS RD SUITE #101 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780940361 | Angela Costa, LLC | Optometrist | 138 E Reynolds Rd, 101, Lexington, KY 40517-1257 | 2012-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| 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 |
|---|---|---|---|---|
| 1306443163 | Eyemax2020 | Optometrist | 3070 Harrodsburg Rd Ste 130, Lexington, KY 40503-2764 | 2020-10-05 |
| 1639780224 | Family First Vision Care Kentucky | Optometrist | 3801 Mall Rd Ste 115, Lexington, KY 40503-4492 | 2020-08-17 |
| 1568080828 | Maivys Hernandez Longa | Optometrist | 715 Shaker Dr Ste 120, Lexington, KY 40504-3674 | 2020-07-13 |
| 1730663071 | Lina Savickas | Optometrist | 2250 Leestown Rd Bldg 1, Lexington, KY 40511-1052 | 2018-09-22 |
| 1710400247 | Hai An Bui | Optometrist | 3695 Nicholasville Rd Ste 150, Lexington, KY 40503-4493 | 2017-07-17 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1346776036 | Sansbury Vision Services LLC | Optometrist | 205 Columbia Ave Ste C, Lexington, SC 29072-2662 | 2017-05-02 |
| 1316304405 | J Galt Eyewear LLC | Optometrist | 535 Wellington Way Ste 160, Lexington, KY 40503-1387 | 2016-01-21 |
| 1003224809 | Bilal Ahmad | Optometrist | 4140 Briar Hill Rd, Lexington, KY 40516-9719 | 2014-07-24 |
| 1023429826 | Amy Catherine Thomas | Optometrist | 157 Jefferson St Apt 201, Lexington, KY 40508-1758 | 2014-05-14 |
| Find all providers in LEXINGTON | ||||
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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.