COSTCO WHOLESALE CORPORATION (NPI# 1245621465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245621465 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #1059 |
| Practice Address |
1804 Se Ensign Ln Warrenton OR 97146-7339 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 5033384103 |
| Practice Fax Number | 5033384105 |
| 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 | 5033384103 |
| 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 #1059 | 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 |
1804 SE ENSIGN LN |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-7339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| 1821541210 | Robert Page Hamilton | Optometrist | 1804 Se Ensign Ln, Optometry Department, Warrenton, OR 97146-7339 | 2016-08-02 |
| 1265825129 | Costco Wholesale Corporation | Hearing Aid Equipment | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2015-03-16 |
| 1265850986 | Thuy Nguyen Od PC | Optometrist | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2014-03-31 |
| 1851725915 | Ashton L Jenks | Pharmacist | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2013-08-26 |
| 1912258849 | Brad Christensen | Pharmacist | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2012-10-02 |
| 1659634186 | Mary I Bowers | Pharmacist | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2012-06-19 |
| 1932418167 | Kurita Eye Care Inc | Optometrist | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2010-10-06 |
| 1497060701 | Claude N Stevens | Optometrist | 1804 Se Ensign Ln, Optometry, Warrenton, OR 97146-7339 | 2010-08-11 |
| 1295055143 | Scott Robert Kurita | Optometrist | 1804 Se Ensign Ln, Warrenton, OR 97146-7339 | 2010-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1386822658 | Melissa Hays Mona | Case Manager/Care Coordinator | 65 N Highway 101 Ste 210, Warrenton, OR 97146 | 2008-02-08 |
| Find all providers in zip 97146 | ||||
| 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 |
|---|---|---|---|---|
| 1053554147 | Family Eye Center | Eyewear Supplier (Equipment, not the service) | 134 N. Main St, Warrenton, NC 27589-8605 | 2009-04-20 |
| 1649320151 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 141 W Lee Hwy, Warrenton, VA 20186-2107 | 2007-01-10 |
| 1952349904 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1451 Highway 101 Alt, Warrenton, OR 97146-9674 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255827689 | Woodburn Eye Center, LLC | Eyewear Supplier (Equipment, not the service) | 580 Glatt Cir, Woodburn, OR 97071-7690 | 2018-07-09 |
| 1518473297 | Asterix Eyewear | Eyewear Supplier (Equipment, not the service) | 4936 Se Foster Rd, Portland, OR 97206-3037 | 2017-12-18 |
| 1831616929 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 817 Nw 23rd Ave, Portland, OR 97210-3003 | 2017-08-29 |
| 1568993988 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9300 Sw Washington Square Rd, Portland, OR 97223-4428 | 2017-03-27 |
| 1871048090 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 30020 Sw Boones Ferry Rd, Wilsonville, OR 97070-8912 | 2016-08-17 |
| 1467823518 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3148 N Highway 97, Suite B-1, Bend, OR 97703-7514 | 2015-10-15 |
| 1871962951 | Optical Shop Equipment Inc | Eyewear Supplier (Equipment, not the service) | 341 Nw Medical Loop, Suite 120, Roseburg, OR 97471-5540 | 2015-09-18 |
| 1326460221 | Mt. Hood Eye Care Corporation | Eyewear Supplier (Equipment, not the service) | 36840 Industrial Way Ste D, Sandy, OR 97055-9254 | 2014-01-11 |
| 1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
| 1750611372 | Focal Point | Eyewear Supplier (Equipment, not the service) | 2002 Highway 101, North, Florence, OR 97439-0155 | 2010-01-04 |
| Find all providers with the same taxonomy | ||||
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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.