COSTCO WHOLESALE CORPORATION (NPI# 1104211838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104211838 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #621 |
| Practice Address |
10088 Gulf Center Dr Fort Myers FL 33913-8961 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 2394337240 |
| Practice Fax Number | 2394337244 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 2394337240 |
| 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) | OE1590 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #621 | 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 |
10088 GULF CENTER DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913-8961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124149604 | Costco Wholesale Corp | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913 | 2007-04-03 |
| 1598133449 | Costco Wholesale Corporation | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-09-09 |
| 1285002329 | Brittany Rawlins | Pharmacist | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-09-07 |
| 1417343500 | Costco Wholesale Corporation | Hearing Aid Equipment | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-04-15 |
| 1982970273 | Alexander Herwig | Pharmacist | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2012-03-30 |
| 1033485008 | Denishkumar Pranlal Kalavadia | Pharmacist | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| 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 |
|---|---|---|---|---|
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1336315738 | C Norton Sims Md | Eyewear Supplier (Equipment, not the service) | 3949 Evans Av, Ste 106, Fort Myers, FL 33901-9341 | 2008-05-06 |
| 1558415109 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4125 Cleveland Ave Ste 1865, Fort Myers, FL 33901-9188 | 2007-01-22 |
| 1740330216 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 15201 N Cleveland Ave, Ste 1500, Fort Myers, FL 33903-2714 | 2007-01-10 |
| 1821177668 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 13300 S Cleveland Ave Ste 45, Fort Myers, FL 33907 | 2006-11-03 |
| 1427138965 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 12320 S Cleveland Ave, Fort Myers, FL 33907-3844 | 2006-10-17 |
| 1679595714 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 4125 Cleveland Ave Ste 134, Fort Myers, FL 33901-9025 | 2006-07-25 |
| 1346801974 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 12995 S Cleveland Ave, Fort Myers, FL 33907-3890 | 2019-06-25 |
| 1780078642 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7171 Cypress Lake Dr, Fort Myers, FL 33907-6521 | 2015-03-27 |
| 1710394085 | Visions Unlimited Ophthalmic, LLC | Eyewear Supplier (Equipment, not the service) | 1850 Boy Scout Dr, Unit 107, Fort Myers, FL 33907-2127 | 2014-07-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| 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.