COSTCO WHOLESALE CORPORATION (NPI# 1285024869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285024869 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #663 |
| Practice Address |
2400 Monument Blvd Concord CA 94520-3105 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 9255664001 |
| Practice Fax Number | 9255664031 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 9255664001 |
| 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) | D6119 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #663 | 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 |
2400 MONUMENT BLVD |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841300456 | Costco Wholesale Corporation | Pharmacy | 2400 Monument Blvd, Concord, CA 94520 | 2006-08-30 |
| 1043603251 | Costco Wholesale Corporation | Hearing Aid Equipment | 2400 Monument Blvd, Concord, CA 94520-3105 | 2015-03-12 |
| 1285038901 | Oliver Sit | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2014-10-09 |
| 1235410184 | Gregory Yuk Tam | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2011-09-06 |
| 1558650879 | Tin P Ho | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2011-04-07 |
| 1770881344 | Melissa W Wong | Pharmacist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2011-03-07 |
| 1740344472 | Theodore Miyasaki | Optometrist | 2400 Monument Blvd, Concord, CA 94520-3105 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1619584000 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7905 Lyles Ln Nw, Concord, NC 28027-7111 | 2020-09-29 |
| 1134659584 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 341 Sun Valley Mall, Concord, CA 94520-5811 | 2017-06-19 |
| 1346790086 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8111 Concord Mills Blvd, Ste 359, Concord, NC 28027-6462 | 2016-10-06 |
| 1023408861 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 8561 Concord Mills Blvd, Suite B, Concord, NC 28027 | 2015-02-02 |
| 1508094269 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 5825 Thunder Road, Concord, NC 28027 | 2009-07-01 |
| 1649445313 | Cabarrus Eye Center, Pa | Eyewear Supplier (Equipment, not the service) | 201 Lephillip Ct, Ne, Concord, NC 28025 | 2008-04-24 |
| 1720297088 | N H Optical Laboratory LLC | Eyewear Supplier (Equipment, not the service) | 40 Terrill Park Dr, Concord, NH 03301-7315 | 2007-05-22 |
| 1477609238 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1480 Concord Pkwy, Carolina Mall, Concord, NC 28025-2933 | 2007-01-26 |
| 1477607232 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 169 Sun Valley Mall, Concord, CA 94520-5804 | 2007-01-22 |
| 1114083748 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1480 Concord Pkwy N, Carolina Mall, Concord, NC 28025-2933 | 2006-12-28 |
| Find all providers in CONCORD | ||||
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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.