COSTCO WHOLESALE CORPORATION (NPI# 1184014870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184014870 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #31 |
| Practice Address |
4500 W Shaw Ave Fresno CA 93722-6200 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 5592716502 |
| Practice Fax Number | 5592767428 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 5592716502 |
| 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) | D5960 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #31 | 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 |
4500 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659481265 | Costco Wholesale Corporation | Pharmacy | 4500 W Shaw Ave, Fresno, CA 93722 | 2006-08-30 |
| 1548815194 | Fernando Chen, O.d., Inc. | Optometrist | 4500 W Shaw Ave, Fresno, CA 93722-6200 | 2019-08-09 |
| 1326431958 | Costco Wholesale Corporation | Hearing Aid Equipment | 4500 W Shaw Ave, Fresno, CA 93722-6200 | 2015-03-06 |
| 1013319805 | Ed Castillo | Pharmacist | 4500 W Shaw Ave, Fresno, CA 93722-6200 | 2014-09-23 |
| 1033416540 | Jennifer Elizabeth Kent | Pharmacist | 4500 W Shaw Ave, Fresno, CA 93722-6200 | 2011-02-17 |
| 1033416953 | Eric D Schlotthauer | Pharmacist | 4500 W Shaw Ave, Fresno, CA 93722-6200 | 2011-02-14 |
| 1831490739 | Julie Christine Zoolakis | Pharmacist | 4500 W Shaw Ave, Fresno, CA 93722-6200 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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 |
|---|---|---|---|---|
| 1154732410 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 5048 N Blackstone Ave, Suite 101, Fresno, CA 93710-6710 | 2014-05-08 |
| 1427104918 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 20 W Shaw Avenue, Fresno, CA 93704 | 2007-01-26 |
| 1073667309 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4983 N Blackstone Ave, Fresno, CA 93726-0109 | 2007-01-23 |
| 1801952320 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3636 N Blackstone, Fresno, CA 93726-5304 | 2006-12-29 |
| 1194746115 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 555 E Shaw, Fresno, CA 93710 | 2006-07-23 |
| 1841747458 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7600 N Blackstone Ave, Fresno, CA 93720-4300 | 2016-09-01 |
| 1659761237 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7100 N Abby St, Fresno, CA 93720-2920 | 2015-02-03 |
| 1689072530 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 5048 N Blackstone Ave, Suite 101, Fresno, CA 93710-6710 | 2014-12-09 |
| 1659782282 | Visioncare of California Inc. | Eyewear Supplier (Equipment, not the service) | 5048 N Blackstone Ave, Suite 101, Fresno, CA 93710-6710 | 2014-05-16 |
| 1174947733 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6655 N Riverside Dr, Fresno, CA 93722 | 2014-02-18 |
| Find all providers in FRESNO | ||||
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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.