MEDICARE: JOHN J. COSTELLO, SR. O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV002717-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245309970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN J. COSTELLO, SR. O.D.

Provider Business Mailing Address
First Line	:	131 MAIN ST
Second Line	:	SUITE 202
City	:	ONEIDA
State	:	NY
Zip	:	13421-1641
Country	:	US
Telephone Number	:	315-363-4942
Fax Number	:	315-363-4441

Provider Business Practice Location Address
First Line	:	131 MAIN ST
Second Line	:	SUITE 202
City	:	ONEIDA
State	:	NY
Zip	:	13421-1641
Country	:	US
Telephone Number	:	315-363-4942
Fax Number	:	315-363-4441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	01/14/2014

Similar Medicare Providers

1346245156 — PATRICK A COSTELLO MD
Practice Location Address:

131 MAIN ST , SUITE 201
ONEIDA, NY
13421-1641

Practice Phone: 315-363-1110
Practice Fax: 315-363-4441

1487650743 — JOHN J COSTELLO JR. DO
Practice Location Address:

131 MAIN ST , SUITE 201
ONEIDA, NY
13421-1641

Practice Phone: 315-367-0264
Practice Fax: 315-693-0014

1427030980 — MRS. DEBORAH L. CLAREY RN FNP-C
Practice Location Address:

131 MAIN ST STE 103
ONEIDA, NY
13421-1641

Practice Phone: 315-366-3700
Practice Fax: 315-366-3721

1952360166 — DR. AMY LYNN WARDELL OD
Practice Location Address:

131 MAIN ST STE 202
ONEIDA, NY
13421-1641

Practice Phone: 315-363-4942
Practice Fax: 315-363-4441

1841369436 — MATTHEW C. ALLEN O.D.
Practice Location Address:

131 MAIN ST , SUITE 202
ONEIDA, NY
13421-1641

Practice Phone: 315-363-4942
Practice Fax: 315-363-4441

1659563658 — DR. JENNIFER MUSIAL CUMMINGS O.D.
Practice Location Address:

131 MAIN ST , SUITE 202
ONEIDA, NY
13421-1641

Practice Phone: 315-363-4942
Practice Fax: 315-363-4441

Directions to “ JOHN J. COSTELLO, SR. O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.