COSTCO WHOLESALE CORPORATION (NPI# 1063806941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063806941 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #742 |
| Practice Address |
15915 Pines Blvd Pembroke Pines FL 33027-1201 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 9542663460 |
| Practice Fax Number | 9542663482 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 9542663463 |
| Is Organization Subpart | Y |
| Parent Organization Name | COSTCO WHOLESALE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | OE1416 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #742 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1265072292 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 700 Highland Colony Pkwy, Ridgeland, MS 39157-8701 | 2020-01-07 |
| 1275183568 | Costco Wholesale Corporation | Hearing Aid Equipment | 995 Blue Gentian Rd, Eagan, MN 55121-1542 | 2019-09-18 |
| 1124675228 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 284 Flanders Rd, East Lyme, CT 06333-1710 | 2019-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Colorado Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Iowa Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Vermont Business Registrations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| New York State Corporations | COSTCO WHOLESALE CORPORATION | 28 Liberty St., New York, New York 10005 |
| Massachusetts Corporations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| Connecticut Business Registrations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| Virginia Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, Washington 98027 |
| Street Address |
15915 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457461063 | Costco Wholesale Corporation | Pharmacy | 15915 Pines Blvd, Pembroke Pines, FL 33027 | 2006-08-30 |
| 1730633827 | Doneith Fraser | Pharmacist | 15915 Pines Blvd, Pembroke Pines, FL 33027-1201 | 2016-08-07 |
| 1235525320 | Costco Wholesale Corporation | Hearing Aid Equipment | 15915 Pines Blvd, Pembroke Pines, FL 33027-1201 | 2015-04-15 |
| 1174806384 | Donna-marie Elizabeth Andrews | Pharmacist | 15915 Pines Blvd, Pembroke Pines, FL 33027-1201 | 2011-09-23 |
| 1457401341 | Isabelle Agatha Ruszczyk | Optometrist | 15915 Pines Blvd, Pembroke Pines, FL 33027-1201 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902268337 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 323 Sw 145th Ter Spc 3050, Pembroke Pines, FL 33027-1444 | 2016-03-24 |
| 1942472766 | Dr William Porter Od Pa Dba Pearle Vision | Eyewear Supplier (Equipment, not the service) | 11005 Pines Blvd, Pembroke Pines, FL 33026 | 2008-04-01 |
| 1164621546 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11605 Pines Blvd, Pembroke Lakes Mall, Pembroke Pines, FL 33026-4109 | 2007-07-16 |
| 1194920157 | Cohen's Fashion Optical | Eyewear Supplier (Equipment, not the service) | 11401 Pines Blvd Ste 352, Pembroke Pines, FL 33026-4105 | 2007-06-19 |
| 1538206529 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11401 Pines Blvd, Pembroke Lakes Mall Ste #888, Pembroke Pines, FL 33026-4117 | 2007-01-31 |
| 1285789925 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 13700 Pines Blvd, Pembroke Pines, FL 33027-1510 | 2007-01-24 |
| 1053464263 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 12890 Pines Blvd, Pembroke Pines, FL 33027-1708 | 2007-01-19 |
| 1407912637 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12055 Pines Blvd, Pembroke Lakes Mall, Pembroke Pines, FL 33026-4112 | 2006-12-30 |
| 1306915905 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9910 Pines Blvd, Pembroke Pines, FL 33024-6139 | 2006-11-07 |
| 1376624551 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 12208 Pines Boulevard, Pembroke Pines, FL 33026 | 2006-10-17 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| 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.