COSTCO WHOLESALE CORPORATION (NPI# 1295125334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295125334 |
Entity Type | Organization |
Organization Name | COSTCO WHOLESALE CORPORATION |
Other Organization Name | COSTCO OPTICAL #452 |
Practice Address |
12350 Carmel Mountain Rd San Diego CA 92128-4616 |
Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
Practice Telephone | 8586750619 |
Practice Fax Number | 8586750876 |
Mailing Telephone | 4253138100 |
Mailing Fax Number | 4253136922 |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-06-05 |
Authorized Official Name | ART SALAS (AVP OPTICAL) |
Authorized Official Telephone | 8586750619 |
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) | D6836 | CA | Suppliers |
Other Name | Type Code |
---|---|
Costco Optical #452 | 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 |
12350 CARMEL MOUNTAIN RD |
City | SAN DIEGO |
State | CA |
Zip Code | 92128-4616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538279138 | Costco Wholesale Corporation | Pharmacy | 12350 Carmel Mountain Rd, San Diego, CA 92128 | 2006-08-30 |
1437759875 | Steven Anthony Muawad | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2020-10-26 |
1114310323 | Costco Wholesale Corporation | Hearing Aid Equipment | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2015-03-12 |
1568712636 | Kye Ok Kim | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-09-14 |
1619242351 | Maggie B. Nguyen | Optometrist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-03-13 |
1184998148 | Jennifer Young Ahn | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2012-03-08 |
1881977700 | Georga Ann Ducklow | Pharmacist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2011-09-27 |
1194876680 | Stacy A Coffman | Optometrist | 12350 Carmel Mountain Rd, San Diego, CA 92128-4616 | 2007-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
Find all providers in zip 92128 |
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 |
---|---|---|---|---|
1124545454 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4465 La Jolla Village Dr Ste H-5, San Diego, CA 92122-1218 | 2017-08-28 |
1114478187 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7017 Friars Rd, San Diego, CA 92108-1129 | 2016-10-14 |
1174882294 | Rachelle Marie Keltner, An Optometry Corp | Eyewear Supplier (Equipment, not the service) | 7875 Highland Village Pl, Ste. B-102, San Diego, CA 92129-5189 | 2012-05-09 |
1023208287 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 9560 Ridgehaven Ct, San Diego, CA 92123-1668 | 2007-07-25 |
1730228305 | For Eyes Optical of Ca | Eyewear Supplier (Equipment, not the service) | 3689 Midway Dr, Suite D, San Diego, CA 92110-5265 | 2007-02-06 |
1962556902 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1640 Camino Del Rio N, Mission Valley Ctr Ste #200, San Diego, CA 92108-1506 | 2007-01-23 |
1306996673 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 8730 Rio San Diego Dr, San Diego, CA 92108-5500 | 2007-01-11 |
1528118833 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 12080 Carmel Mountain Rd, San Diego, CA 92128-4605 | 2007-01-11 |
1174673495 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 7655 Clairemont Mesa Blvd, Sears Essentials, San Diego, CA 92111-1534 | 2007-01-11 |
1760547731 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 4595 Clairemont Dr, Clairemont, San Diego, CA 92117-5540 | 2006-12-27 |
Find all providers in SAN DIEGO |
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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.