COSTCO WHOLESALE CORPORATION (NPI# 1275924490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275924490 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #96 |
| Practice Address |
2505 Catron St Bozeman MT 59718-7993 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 4065850383 |
| Practice Fax Number | 4065858679 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 4065857676 |
| 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 #96 | 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 |
2505 CATRON ST |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-7993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376653998 | Costco Wholesale Corporation | Pharmacy | 2505 Catron St, Bozeman, MT 59718 | 2006-08-30 |
| 1417433293 | Daniel Patrick Sublette | Pharmacist | 2505 Catron St, Bozeman, MT 59718 | 2018-07-16 |
| 1164816856 | Costco Wholesale Corporation | Hearing Aid Equipment | 2505 Catron St, Bozeman, MT 59718-7993 | 2015-03-20 |
| 1508139205 | Jean A Wentzel | Pharmacist | 2505 Catron St, Bozeman, MT 59718-7993 | 2012-02-12 |
| 1902178940 | Dennis Staples | Pharmacist | 2505 Catron St, Bozeman, MT 59718-7993 | 2012-02-07 |
| 1992087894 | Donald Alf Berglund | Pharmacist | 2505 Catron St, Bozeman, MT 59718-7993 | 2011-09-15 |
| 1154535920 | Andria Ernestine Weber | Optometrist | 2505 Catron St, Bozeman, MT 59718-7993 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| 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 |
|---|---|---|---|---|
| 1699965681 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2825 W Main, Gallatin Valley Mall #5d, Bozeman, MT 59718-3927 | 2007-07-26 |
| 1699722264 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1500 N 7th Ave, Bozeman, MT 59715-2557 | 2006-05-28 |
| 1053683037 | Carl J Roth Od PC | Eyewear Supplier (Equipment, not the service) | 113 E Oak St Ste 2c, Bozeman, MT 59715-2972 | 2012-02-06 |
| 1720384282 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2825 W Main St, Gallatin Valley Mall #5d, Bozeman, MT 59718-3927 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684020 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1715 S Reserve St, Missoula, MT 59801-4705 | 2019-08-16 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1285992255 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Road, Building 1340, Great Falls, MT 59402-6856 | 2012-04-27 |
| 1104101211 | Quality Vision Care | Eyewear Supplier (Equipment, not the service) | 1040 Partridge Pl Ste 10, Helena, MT 59602-0518 | 2011-10-20 |
| 1881924413 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 4420 King Avenue East, Billings, MT 59101 | 2010-01-04 |
| 1497949002 | Specticca Inc | Eyewear Supplier (Equipment, not the service) | 319 N Higgins Ave, Missoula, MT 59802-4537 | 2007-08-28 |
| 1831382605 | Jeffrey D. Heninger, O.d. Pllc | Eyewear Supplier (Equipment, not the service) | 203a Ridgewater Dr, Polson, MT 59860-8992 | 2007-08-24 |
| 1063603363 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 1002 10th St W Ste 3, Billings, MT 59102-5463 | 2007-08-05 |
| 1366654840 | Big Sky Optical | Eyewear Supplier (Equipment, not the service) | 14 South Montana, Butte, MT 59701-0000 | 2007-05-04 |
| 1568685790 | Pearle Vision | Eyewear Supplier (Equipment, not the service) | 20 N Main St Ste B13, Kalispell, MT 59901-4080 | 2007-04-10 |
| Find all providers with the same taxonomy | ||||
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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.