COSTCO WHOLESALE CORPORATION (NPI# 1912391061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912391061 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #359 |
| Practice Address |
500 Tyvola Rd Charlotte NC 28217-3504 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7045012403 |
| Practice Fax Number | 7045012417 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7045012403 |
| 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) | 308 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #359 | 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 |
500 TYVOLA RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053421685 | Costco Wholesale Corporation | Pharmacy | 500 Tyvola Rd, Charlotte, NC 28217 | 2006-08-30 |
| 1861015752 | C Clearly Eye Care Optometry | Optometrist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2020-05-26 |
| 1801370721 | Stephen Kendall | Pharmacist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2018-09-17 |
| 1568858041 | Costco Wholesale Corporation | Hearing Aid Equipment | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2015-04-10 |
| 1952703027 | Jim Coates | Pharmacist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2014-09-20 |
| 1316348618 | Roxane Bartos | Pharmacist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2014-09-06 |
| 1700138849 | Kimberly Allison Pavish | Pharmacist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2012-10-14 |
| 1952663759 | Lindsey P Lattimore Jr. | Pharmacist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2012-06-08 |
| 1003199845 | Christian Bost | Pharmacist | 500 Tyvola Rd, Charlotte, NC 28217-3504 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| 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 |
|---|---|---|---|---|
| 1740820513 | Horizon Eye Care, Pa | Eyewear Supplier (Equipment, not the service) | 10834 Mallard Creek Road, Charlotte, NC 28262-9786 | 2020-01-09 |
| 1679112122 | Glenpointe Optical Corp | Eyewear Supplier (Equipment, not the service) | 9831 Rea Rd Ste G, Charlotte, NC 28277-6655 | 2020-01-02 |
| 1467015750 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4400 Sharon Rd # G34a, Charlotte, NC 28211-3531 | 2019-04-22 |
| 1881173219 | Metrolina Eye Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 8816 University East Dr Ste C, Charlotte, NC 28213-4109 | 2018-08-07 |
| 1730605437 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2000 South Blvd Ste 150, Charlotte, NC 28203-6452 | 2017-08-15 |
| 1194066605 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 7115 Northlake Mall Dr, Charlotte, NC 28216-1938 | 2013-03-07 |
| 1508134834 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8204 Ikea Blvd, Suite 3a, Charlotte, NC 28262-5014 | 2011-12-01 |
| 1689806747 | Cel O.d. Pllc | Eyewear Supplier (Equipment, not the service) | 10230 Berkeley Place Dr Ste 140, Charlotte, NC 28262-1203 | 2009-08-21 |
| 1033369434 | Mecklenburg Eye Associates Pa | Eyewear Supplier (Equipment, not the service) | 2015 Randolph Rd Ste 108, Charlotte, NC 28207-1200 | 2008-09-23 |
| 1972751964 | Mecklenburg Eye Associates Pa | Eyewear Supplier (Equipment, not the service) | 8730 University City Blvd, Charlotte, NC 28213-3558 | 2008-09-03 |
| Find all providers in CHARLOTTE | ||||
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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.