COSTCO WHOLESALE CORPORATION (NPI# 1841680121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841680121 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #466 |
| Practice Address |
3911 Hwy 69 Prescott AZ 86301 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 9285412214 |
| Practice Fax Number | 9285412239 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 9285412214 |
| 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) | 880E | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #466 | 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 |
3911 HWY 69 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1356496269 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3250 Gateway Blvd Ste 152, Prescott, AZ 86303 | 2007-01-24 |
| 1952482721 | Roadrunner Optical Corp | Eyewear Supplier (Equipment, not the service) | 377 N Montezuma St, Ste 108a, Prescott, AZ 86301-3020 | 2006-10-18 |
| 1083668073 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3050 E Highway 69, Prescott, AZ 86301-6740 | 2006-05-22 |
| 1194999722 | John R. Markham PC | Eyewear Supplier (Equipment, not the service) | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2008-04-15 |
| 1578611810 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3400 Gateway Blvd, Gateway Mall, Prescott, AZ 86303-6848 | 2007-01-05 |
| 1720046436 | Central Arizona Eye Clinic P.C. | Eyewear Supplier (Equipment, not the service) | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652359 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7014 E Camelback Rd Ste 156, Scottsdale, AZ 85251-1227 | 2020-02-26 |
| 1134760937 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 302 E Bell Rd Ste 150, Phoenix, AZ 85022-2434 | 2019-10-02 |
| 1831678127 | Thundercloud Optical | Eyewear Supplier (Equipment, not the service) | 4515 N 16th St Ste 112, Phoenix, AZ 85016-5362 | 2018-08-08 |
| 1396262614 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 15257 N Scottsdale Rd, Scottsdale, AZ 85254-2490 | 2017-08-28 |
| 1689102923 | Van Buren Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1130 E Missouri Ave Ste 110, Phoenix, AZ 85014-2712 | 2017-05-31 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1184175416 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 15033 W Bell Rd Ste 150, Surprise, AZ 85374-3262 | 2016-10-21 |
| 1750832721 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7600 W Arrowhead Towne Ctr, Glendale, AZ 85308 | 2016-10-14 |
| 1346790094 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1979 E 16th St, Yuma, AZ 85365-2122 | 2016-10-06 |
| 1396294583 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2403 N Stockton Hill Rd, Suite 1, Kingman, AZ 86401-4188 | 2016-09-28 |
| 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.