COSTCO WHOLESALE CORPORATION (NPI# 1114311388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114311388 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #1172 |
| Practice Address |
10000 Dawnadele Ave Building A Baton Rouge LA 70809-2591 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 2252954600 |
| Practice Fax Number | 2252954611 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 2252954613 |
| 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) | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #1172 | 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 |
| Street Address |
10000 DAWNADELE AVE BUILDING A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215369236 | Kevin Minh Duong | Optometrist | 10000 Dawnadele Ave, Building A, Baton Rouge, LA 70809-2591 | 2013-07-31 |
| 1689069445 | Costco Wholesale Corporation | Hearing Aid Equipment | 10000 Dawnadele Ave, Baton Rouge, LA 70809-2591 | 2015-03-30 |
| 1174940472 | Kevin Minh Duong, Od, Apoc | Optometrist | 10000 Dawnadele Ave, Building A, Baton Rouge, LA 70809-2591 | 2014-03-25 |
| 1811313836 | Costco Wholesale Corporation | Pharmacy | 10000 Dawnadele Ave, Building A, Baton Rouge, LA 70809 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| 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 |
|---|---|---|---|---|
| 1154643823 | City Optical | Eyewear Supplier (Equipment, not the service) | 4460 Bluebonnet Blvd, Suite A, Baton Rouge, LA 70809-9658 | 2010-02-23 |
| 1831421338 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 6725 Siegen Ln, Suite 18, Baton Rouge, LA 70809-4589 | 2010-02-08 |
| 1720259070 | Dr. Amy T. Dinh, LLC | Eyewear Supplier (Equipment, not the service) | 9828 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810-6461 | 2008-03-14 |
| 1346395753 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6401 Bluebonnet Blvd Ste 5050, Baton Rouge, LA 70836 | 2007-01-24 |
| 1609920909 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 8945 Corteana Place, Baton Rouge, LA 70815-8702 | 2007-01-23 |
| 1831246289 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 9001 Corteana Pl, Cortana Mall, Baton Rouge, LA 70815-8704 | 2007-01-05 |
| 1801954995 | Best Vision Center | Eyewear Supplier (Equipment, not the service) | 550 Connell Park Ln, Baton Rouge, LA 70806-6539 | 2006-12-04 |
| 1689763690 | Jason Wonch Od and Associates A PC | Eyewear Supplier (Equipment, not the service) | 9757 Perkins Road, Space B, Baton Rouge, LA 70810-1627 | 2006-10-11 |
| 1023107026 | Jason Wonch Od and Associates A P C | Eyewear Supplier (Equipment, not the service) | 9580 Florida Boulevard, Baton Rouge, LA 70815 | 2006-10-11 |
| 1194747295 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6201 Bluebonnett Road, Baton Rouge, LA 70809 | 2006-07-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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.