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NPI 1740967967

IndividualActive

Alexander Costin, ABO-C, NCLE-C

NPI 1740967967 · Optician · Wyoming, MI

Provider details

NPI number: 1740967967
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: ABO-C, NCLE-C
Sex: Male
Sole proprietor: No
License: 250670 (MI)

Practice location

355 54th St Sw

Wyoming, MI 49548-5614

Phone: (616) 552-6228

Fax: (616) 534-2909

More MI providers

Mailing address

545 Van Allen St Se

Wyoming, MI 49548-1229

Registry dates

Enumerated: 2023-06-29
Last updated: 2026-02-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexander Costin, ABO-C, NCLE-C — NPI 1740967967, Wyoming, MI | NPI Central