COSTCO WHOLESALE CORPORATION (NPI# 1881084937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881084937 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #465 |
| Practice Address |
4502 E Oak St Phoenix AZ 85008-2411 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 6028080110 |
| Practice Fax Number | 6028080127 |
| 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 | 6028080110 |
| 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) | 881E | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #465 | 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 |
4502 E OAK ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114037710 | Costco Wholesale Corporation | Pharmacy | 4502 E Oak St, Phoenix, AZ 85008 | 2006-08-30 |
| 1740824119 | Brooke D Kruman | Optometrist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2019-10-29 |
| 1245715895 | Anne M Feeney | Clinical Pharmacology | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2018-09-29 |
| 1164934386 | Diana Ann Kung | Pharmacist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2017-10-27 |
| 1669901534 | Elizabeth Hundelt | Optometrist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2017-06-05 |
| 1063804771 | Costco Wholesale Corporation | Hearing Aid Equipment | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2015-03-04 |
| 1528404738 | Shenouda A Keriacous | Pharmacist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2013-05-14 |
| 1790096337 | Siva Kumar Kamineni | Pharmacist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2010-06-29 |
| 1346563293 | Joseph Anthony Pinto | Pharmacist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2010-03-07 |
| 1437480795 | Tim A Logan | Pharmacist | 4502 E Oak St, Phoenix, AZ 85008-2411 | 2010-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1689102923 | Van Buren Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1130 E Missouri Ave Ste 110, Phoenix, AZ 85014-2712 | 2017-05-31 |
| 1891147906 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2410 E Camelback Rd, Phoenix, AZ 85016-4202 | 2016-07-13 |
| 1063791929 | U S Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1727 W Bethany Home Rd, Phoenix, AZ 85015-2510 | 2011-08-10 |
| 1528371325 | Elizabeth Margaret Evans | Eyewear Supplier (Equipment, not the service) | 1818 W Glenhaven Dr, Phoenix, AZ 85045-1635 | 2010-07-21 |
| 1154574408 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4575 E Cactus Rd Ste 100a, Phoenix, AZ 85032-7700 | 2008-10-30 |
| 1134304637 | Rosebud LLC | Eyewear Supplier (Equipment, not the service) | 3225 E Yucca St, Phoenix, AZ 85028-2707 | 2008-01-02 |
| 1417148719 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3006 N 30th Ave, Phoenix, AZ 85017-5403 | 2007-08-05 |
| 1144411448 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3711 E Atlanta Ave, Phoenix, AZ 85040-2960 | 2007-08-05 |
| Find all providers in PHOENIX | ||||
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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.