COSTCO WHOLESALE CORPORATION (NPI# 1497146476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497146476 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #368 |
| Practice Address |
4200 Rusty Rd Saint Louis MO 63128-1973 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 3148947953 |
| Practice Fax Number | 3148947970 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 3148947950 |
| 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 #368 | 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 |
4200 RUSTY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689680886 | Michael Walter Kline | Optometrist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2006-07-31 |
| 1558756429 | Costco Wholesale Corporation | Hearing Aid Equipment | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2015-03-30 |
| 1265799571 | Summer L Cajigal | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2012-04-12 |
| 1134494867 | Sarah Essner | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2012-03-13 |
| 1912278060 | Elisabeth D Knibb | Optometrist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2012-01-21 |
| 1235427576 | Stacy L Scatcherd | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2011-07-20 |
| 1952691610 | Mark J Hogan | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2011-04-15 |
| 1730299355 | Costco Wholesale Corporation | Pharmacy | 4200 Rusty Rd, Saint Louis, MO 63128 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1689090417 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 34 S County Center Way, Saint Louis, MO 63129-1007 | 2014-03-18 |
| 1780855379 | Brusatti Eye Care, LLC | Eyewear Supplier (Equipment, not the service) | 5143 Daggett Ave, Saint Louis, MO 63110-3009 | 2008-03-21 |
| 1518158617 | Moc Acquisition Corporation | Eyewear Supplier (Equipment, not the service) | 2360 59th St, Saint Louis, MO 63110-2812 | 2007-08-05 |
| 1578773073 | Gateway Optical Service Inc. | Eyewear Supplier (Equipment, not the service) | 18 Kirkham Industrial Dr, Saint Louis, MO 63119-1754 | 2007-05-23 |
| 1134269285 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 73 S County Ctr, South County Mall Ste #73, Saint Louis, MO 63129-1006 | 2007-02-07 |
| 1205902632 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 474 Crestwood Plaza, Saint Louis, MO 63126-1704 | 2006-11-28 |
| 1366541419 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 122 S County Center Way Ste A, Saint Louis, MO 63129-1092 | 2006-09-22 |
| 1740702323 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 4255 Hampton Ave, Saint Louis, MO 63109-2120 | 2017-07-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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.