COSTCO WHOLESALE CORPORATION (NPI# 1336539485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336539485 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #1079 |
| Practice Address |
1650 E Tucson Marketplace Blvd Tucson AZ 85713-6561 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 5207917353 |
| Practice Fax Number | 5207917350 |
| 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 | 5207917353 |
| 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) | 1175E | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #1079 | 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 |
| Street Address |
1650 E TUCSON MARKETPLACE BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730202144 | David James Fairley | Optometrist | 1650 E Tucson Marketplace Blvd, Tucson, AZ 85713 | 2007-04-09 |
| 1508340324 | Adam Bourland | Pharmacist | 1650 E Tucson Marketplace Blvd, Tucson, AZ 85713-6561 | 2018-09-18 |
| 1083007611 | Costco Wholesale Corporation | Hearing Aid Equipment | 1650 E Tucson Marketplace Blvd, Tucson, AZ 85713-6561 | 2015-03-06 |
| 1316245012 | Costco Wholesale Corporation | Pharmacy | 1650 E Tucson Marketplace Blvd, Tucson, AZ 85713 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| 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 |
|---|---|---|---|---|
| 1114378528 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5850 E Broadway Blvd, Tucson Park Place-lc Macy's, Tucson, AZ 85711-3902 | 2016-06-27 |
| 1215295209 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5265 S Calle Santa Cruz, Tucson, AZ 85706-3962 | 2012-04-26 |
| 1962793612 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 9615 E Old Spanish Trail, Tucson, AZ 85748-7540 | 2011-04-29 |
| 1134427164 | Catalina Eye Care PC | Eyewear Supplier (Equipment, not the service) | 4021 E Sunrise Dr, Ste 121, Tucson, AZ 85718-4332 | 2011-02-28 |
| 1104075050 | Tom Sowash Od & Associates P C | Eyewear Supplier (Equipment, not the service) | 5271 S Calle Santa Cruz, Tucson, AZ 85706-3557 | 2008-09-16 |
| 1962692186 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3844 E 5th St, Tucson, AZ 85716-5145 | 2007-07-25 |
| 1366569766 | Alvernon Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4747 E Sunrise Dr, Tucson, AZ 85718-8500 | 2007-03-23 |
| 1154477883 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3785 N. Oracle Road, Tucson, AZ 85705 | 2007-01-26 |
| 1043366586 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4500 N Oracle Rd Ste 423, Tucson, AZ 85705 | 2007-01-26 |
| 1124173604 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4545 N Oracle Rd Ste 101, Tucson, AZ 85705-1781 | 2007-01-24 |
| Find all providers in TUCSON | ||||
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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.