NPI 1740690924 · live from the CMS NPI Registry
Allen Michael Blackburn Costa, MD
Ophthalmology in Alexandria, VA. National Provider Identifier 1740690924, active.
NPI record
| NPI | 1740690924 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 411 N Washington St, Alexandria, VA 22314 |
| Practice phone | 703-548-5588 |
| Mailing address | 2661 Riva Rd Ste 1030, Annapolis, MD 21401 |
| Enumerated | April 28, 2014 |
| Last updated | July 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 0101289286 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.