COSTCO WHOLESALE CORPORATION (NPI# 1245624105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245624105 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #1235 |
| Practice Address |
4696 Gardens Park Blvd Orlando FL 32839 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 4075867234 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 4075867234 |
| 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) | OE2299 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #1235 | 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 |
4696 GARDENS PARK BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265542872 | Costco Wholesale Corporation | Pharmacy | 4696 Gardens Park Blvd, Orlando, FL 32839 | 2006-08-30 |
| 1215462585 | Eye Consultants of Central Florida | Optometrist | 4696 Gardens Park Blvd, Orlando, FL 32839-2171 | 2017-04-25 |
| 1912328980 | Luz Marie Torres | Audiologist | 4696 Gardens Park Blvd, Orlando, FL 32839 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| 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 |
|---|---|---|---|---|
| 1518574912 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 12190 Lake Underhill Rd, Orlando, FL 32825-5012 | 2020-09-29 |
| 1811550106 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4200 Conroy Rd Ste B166, Orlando, FL 32839-2400 | 2019-04-22 |
| 1164846911 | Pablo Rosemberg LLC | Eyewear Supplier (Equipment, not the service) | 5447 International Dr, Orlando, FL 32819-8567 | 2014-02-14 |
| 1083964027 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4673 Millenia Plaza Way, Orlando, FL 32839-2433 | 2012-09-18 |
| 1982981700 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8001 S Orange Blossom Trl Ste 1312, Orlando, FL 32809-7695 | 2011-11-08 |
| 1114196177 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 5991 New Goldenrod Road, Orlando, FL 32822 | 2008-02-25 |
| 1992983225 | Eyeglass World #95 | Eyewear Supplier (Equipment, not the service) | 8236 Lee Vista Blvd, Suite A4 - A6, Orlando, FL 32829 | 2008-02-08 |
| 1619017274 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 5201 Raymond St Rm 1209b, Orlando, FL 32803-8208 | 2007-02-06 |
| 1093860801 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 330 N. Alafaya Trail, Orlando, FL 32828 | 2007-01-24 |
| 1982759312 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4697 Millenia Plaza Way, Orlando, FL 32839 | 2007-01-24 |
| Find all providers in ORLANDO | ||||
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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.