COSTCO WHOLESALE CORPORATION (NPI# 1659761708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659761708 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #1028 |
| Practice Address |
1444 S Sossaman Rd Mesa AZ 85209-3400 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 4803336552 |
| Practice Fax Number | 4803336554 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 4803336552 |
| 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) | 876E | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #1028 | 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 |
1444 S SOSSAMAN RD |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673273 | Costco Wholesale Corporation | Pharmacy | 1444 S Sossaman Rd, Mesa, AZ 85209 | 2006-08-30 |
| 1831700814 | Makenna Uraine | Pharmacist | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2020-08-12 |
| 1750742490 | Lienhoan Cao | Pharmacist | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2016-03-08 |
| 1457744088 | Costco Wholesale Corporation | Hearing Aid Equipment | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2015-03-06 |
| 1104177211 | William A. Hefner Jr. | Pharmacist | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2012-09-28 |
| 1407183445 | Bryan Paul Cook | Pharmacist | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2009-11-12 |
| 1255519054 | Oasis Eyecare Pllc | Optometrist | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2008-02-04 |
| 1003991720 | Alicia S Mccallen | Optometrist | 1444 S Sossaman Rd, Mesa, AZ 85209-3400 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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 |
|---|---|---|---|---|
| 1851675003 | Licata Optical LLC | Eyewear Supplier (Equipment, not the service) | 2048 E Baseline Rd, C-6, Mesa, AZ 85204-6969 | 2011-10-06 |
| 1104003532 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1445 W Sern Ave, Fiesta Mall Ste #1080, Mesa, AZ 85202-4803 | 2008-01-29 |
| 1013128735 | Dibok, Inc | Eyewear Supplier (Equipment, not the service) | 1050 W. Main St, Suite 102, Mesa, AZ 85201-7110 | 2007-05-24 |
| 1790821932 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1365 S. Alma School Road, Mesa, AZ 85210 | 2007-01-29 |
| 1376699108 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6555 E Southern Ave Ste 1508, Mesa, AZ 85206-3724 | 2007-01-26 |
| 1780738591 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1649 S Stapley Dr Ste 108, Mesa, AZ 85204 | 2007-01-22 |
| 1528115391 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1425 W Sern Ave, Fiesta Mall, Mesa, AZ 85202-4814 | 2007-01-04 |
| 1780771014 | Tom Sowash Od & Associates PC | Eyewear Supplier (Equipment, not the service) | 1938 S Dobson Rd, Mesa, AZ 85202-5658 | 2006-10-06 |
| 1053408344 | Tom Sowash Od & Associates | Eyewear Supplier (Equipment, not the service) | 6555 E Southern Ave, Suite 2410, Mesa, AZ 85206-3718 | 2006-10-06 |
| 1851482913 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6515 Esern Ave, Superstition Spring Mall, Mesa, AZ 85206-3711 | 2006-09-27 |
| Find all providers in MESA | ||||
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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.