COSTCO WHOLESALE CORPORATION (NPI# 1225428287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225428287 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #685 |
| Practice Address |
801 S Pavilion Center Dr Las Vegas NV 89144-4566 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7023522051 |
| Practice Fax Number | 7023522067 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7023522051 |
| 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 #685 | 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 |
801 S PAVILION CENTER DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457461071 | Costco Wholesale Corporation | Pharmacy | 801 S Pavilion Center Dr, Las Vegas, NV 89144 | 2006-08-30 |
| 1861042863 | Desiree C Chang | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2019-09-12 |
| 1437629359 | Nha Tieu Chau | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2018-12-04 |
| 1225520570 | Ritu Ranjita Singh | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2018-06-02 |
| 1396236097 | Caitlin Keller | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2018-05-29 |
| 1700161197 | Phi Hong Tran | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2011-10-17 |
| 1770800237 | Kelly Deanne Thompson | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2010-04-23 |
| 1871718114 | Ronald J. Eyer | Pharmacist | 801 S Pavilion Center Dr, Las Vegas, NV 89144-4566 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| 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 |
|---|---|---|---|---|
| 1912569203 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1980 Festival Plaza Dr Spc J200, Las Vegas, NV 89135-2927 | 2019-07-08 |
| 1396229399 | Usv Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 8025 S Rainbow Blvd Ste 104, Las Vegas, NV 89139-6495 | 2018-09-17 |
| 1184143109 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 2279 N Rampart Blvd, Las Vegas, NV 89128-7640 | 2017-09-11 |
| 1730567561 | Sunstar Optical | Eyewear Supplier (Equipment, not the service) | 5960 Edmond St, Las Vegas, NV 89118-2856 | 2015-05-13 |
| 1982034724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 740 S Rampart Blvd Ste 6, Las Vegas, NV 89145-5805 | 2013-11-14 |
| 1649597568 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 4355 S Grand Canyon, Las Vegas, NV 89147-7106 | 2010-05-03 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1104095801 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 7100 West Arroyo Crossing Pkwy, Las Vegas, NV 89113 | 2008-02-27 |
| 1477745008 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6436 N. Decatur Blvd, Suite 140-150, Las Vegas, NV 89131 | 2007-08-17 |
| 1053502757 | Sunstar Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4432 Aldebaran Ave, Las Vegas, NV 89103-4130 | 2007-08-07 |
| Find all providers in LAS VEGAS | ||||
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| 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.