COSTCO WHOLESALE CORPORATION (NPI# 1396139663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396139663 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #327 |
| Practice Address |
5125 Jonestown Rd Ste 221 Harrisburg PA 17112-2983 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7174122051 |
| Practice Fax Number | 7174122067 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7174122051 |
| 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 #327 | 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 |
5125 JONESTOWN RD STE 221 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922118553 | Costco Wholesale Corporation | Pharmacy | 5125 Jonestown Rd Ste 221, Harrisburg, PA 17112 | 2006-08-30 |
| 1063011427 | Barbara Klinefelter Boggan | Pharmacist | 5125 Jonestown Rd Ste 221, Harrisburg, PA 17112-4929 | 2020-10-18 |
| 1760043699 | Teleoptometric Service, P.C. | Optometrist | 5125 Jonestown Rd Ste 221, Harrisburg, PA 17112-2983 | 2019-06-21 |
| 1366717266 | Gregory John Konan | Pharmacist | 5125 Jonestown Rd Ste 221, Harrisburg, PA 17112-2983 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| 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 |
|---|---|---|---|---|
| 1275870883 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 5072 Jonestown Rd, Harrisburg, PA 17112-4911 | 2013-01-16 |
| 1497947279 | Vision Resources of Central Pennsylvania | Eyewear Supplier (Equipment, not the service) | 1130 S 19th St, Harrisburg, PA 17104-2912 | 2007-08-15 |
| 1760535264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Rte 83 & Paxton St, Harrisburg East Mall Ste #s1, Harrisburg, PA 17111-9815 | 2007-01-19 |
| 1861556516 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5030 Jonestown Rd Rte 22, Harrisburg, PA 17112-2921 | 2006-12-20 |
| 1891855367 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Rte 22 and Colonial Rd, Colonial Park Mall Ste #74, Harrisburg, PA 17109-6234 | 2006-12-12 |
| 1659388684 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4600 Jonestown Road, Harrisburg, PA 17109 | 2006-08-02 |
| 1336107259 | L&h Eyecare Inc. | Eyewear Supplier (Equipment, not the service) | 3501 Paxton St Unit H2, Harrisburg Mall, Harrisburg, PA 17111-1483 | 2006-05-02 |
| 1760939375 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4600 High Pointe Blvd, Harrisburg, PA 17111-2447 | 2016-09-01 |
| 1427276237 | Susquehanna Optical Inc | Eyewear Supplier (Equipment, not the service) | 10 Capital Drive, Suite 300, Harrisburg, PA 17110 | 2007-04-24 |
| 1669538195 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4600 Jonestown Rd, Colonial Park Mall, Harrisburg, PA 17109-6214 | 2006-12-29 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
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.