COSTCO WHOLESALE CORPORATION (NPI# 1184018418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184018418 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #204 |
| Practice Address |
4725 W Ox Rd Fairfax VA 22030-6125 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7033323200 |
| Practice Fax Number | 7038029137 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7033323201 |
| 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 #204 | 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 |
4725 W OX RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609986231 | Costco Wholesale Corporation | Pharmacy | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2006-08-30 |
| 1245616879 | Van Huynh | Pharmacist | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2015-08-05 |
| 1841686425 | Costco Wholesale Corporation | Hearing Aid Equipment | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2015-04-10 |
| 1902164478 | Karen R Mulheron | Pharmacist | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2012-05-02 |
| 1790054658 | Susan Mathews | Pharmacist | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2011-12-22 |
| 1275819765 | Anita Narasimhan | Pharmacist | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2011-10-27 |
| 1447535604 | Nathan Nghia Hoang | Pharmacist | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2011-10-19 |
| 1457500647 | Scott Alan Macdonald | Optometrist | 4725 W Ox Rd, Fairfax, VA 22030-6125 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1740841444 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2920 District Ave Ste 130, Fairfax, VA 22031-4481 | 2019-06-24 |
| 1538360961 | Spexinc Dba Pearle Vision | Eyewear Supplier (Equipment, not the service) | 11001 Lee Hwy, Fairfax, VA 22030-5018 | 2007-05-31 |
| 1508911413 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 13053 Fair Lakes Shpg Ctr, Fairfax, VA 22033 | 2007-01-24 |
| 1215002076 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11784 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2006-11-21 |
| 1497829832 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12000 Lee Jackson Hwy, Fair Oaks Mall, Fairfax, VA 22033-3313 | 2006-11-18 |
| 1316037559 | Daniel Poth, O.d. and Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 11903l Lee Jackson Memorial Hwy, Suite G133, Fairfax, VA 22033 | 2006-10-16 |
| 1366453763 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 11801 Fair Oaks Mall, Fairfax, VA 22033 | 2006-08-10 |
| 1407462096 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 13053 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2020-09-18 |
| 1518318906 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2016-06-27 |
| 1679961908 | Emerging Vision Inc. | Eyewear Supplier (Equipment, not the service) | 11702u Fair Oaks Mall, Fairfax, VA 22033-3325 | 2015-01-09 |
| Find all providers in FAIRFAX | ||||
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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.