COSTCO WHOLESALE CORPORATION (NPI# 1063803286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063803286 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #772 |
| Practice Address |
6720 Ne 84th St Vancouver WA 98665-2016 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 3608282262 |
| Practice Fax Number | 3608282283 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 3608282262 |
| 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 #772 | 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 |
6720 NE 84TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639289275 | Costco Wholesale Corporation | Pharmacy | 6720 Ne 84th St, Vancouver, WA 98665 | 2006-08-30 |
| 1225422017 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2015-03-19 |
| 1730590928 | Brent Lee Edison | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2014-05-11 |
| 1427323146 | Alex Michael Peterson | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2012-03-13 |
| 1023383999 | Kiersten Norene Flyckt | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2012-03-12 |
| 1376827733 | Scott Watkins | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2011-10-04 |
| 1699056994 | Michael Lee Raymond | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2011-08-31 |
| 1902950835 | James Thomas Lentz | Optometrist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| 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 |
|---|---|---|---|---|
| 1790237212 | The Vancouver Clinic, Inc. Ps | Eyewear Supplier (Equipment, not the service) | 2525 Ne 139th St # 280, Vancouver, WA 98686-2719 | 2016-11-01 |
| 1649473646 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8900 Ne Vancouver Mall Drive, Vancouver, WA 98662 | 2007-06-07 |
| 1124175641 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 8800 Ne Vancouver Mall Dr, Vancouver, WA 98662-6745 | 2007-01-05 |
| 1881785087 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8700 Ne Vancouver Mall Dr Ofc 818, Vancouver, WA 98662-6418 | 2006-09-27 |
| 1043451511 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 19171 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98683-9321 | 2009-03-13 |
| 1316119381 | Vancouver Eye Care, P.s. | Eyewear Supplier (Equipment, not the service) | 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664-1989 | 2008-03-30 |
| 1043482011 | Vancouver Eye Care, P.s. | Eyewear Supplier (Equipment, not the service) | 17720 Se Mill Plain Blvd, Suite 100, Vancouver, WA 98683-7583 | 2008-03-30 |
| 1770755746 | Vancouver Eye Care, P.s. | Eyewear Supplier (Equipment, not the service) | 2415 Ne 134th St, Suite 101, Vancouver, WA 98686-3025 | 2008-03-30 |
| 1730379165 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 720 Se 160th Ave, Mill Plain Town Ctr Ste #101, Vancouver, WA 98684-8911 | 2007-08-01 |
| 1417046475 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8700 Ne Vancouver Mall Dr, Suite 150, Vancouver, WA 98662-6420 | 2006-10-11 |
| Find all providers in VANCOUVER | ||||
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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.