COSTCO WHOLESALE CORPORATION (NPI# 1417342304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417342304 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #363 |
| Practice Address |
125 Calle A Bayamon PR 00959 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7879939312 |
| Practice Fax Number | 7879939305 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7879939312 |
| 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 #363 | 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 |
125 CALLE A |
| City | BAYAMON |
| State | PR |
| Zip Code | 00959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992204069 | Lourdes Socorro Santiago | Pharmacist | 125 Calle A, Parque Industrial Minilla, Bayamon, PR 00959 | 2018-02-05 |
| 1487170338 | Arlene D Villali | Pharmacist | 125 Calle A, Parque Industrial Minillas, Bayamon, PR 00959 | 2017-08-22 |
| 1306233473 | Costco Wholesale Corporation | Hearing Aid Equipment | 125 Calle A, Bayamon, PR 00959 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
| 1568074367 | Yanira Perez Nieves | Counselor | Bloque 10 Num. 17 Ave. Aguas Buenas, Edificio 1917 Suite 4, Bayamon, PR 00959 | 2020-08-21 |
| 1689290793 | Metro Pavia Healthcare Centers | Clinic/Center | Carr 167 Urb Bella Vista Marginal Ad-10, Bayamon, PR 00959 | 2020-06-24 |
| 1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
| 1437779907 | Precise Radiosurgery Solutions Psc | Radiology | Ext Hnas Davila Marginal Carr #2 Esq 3b, Edificio 1955 Suite G1, Bayamon, PR 00959 | 2020-04-24 |
| 1649809260 | Kathy A. Caraballo Rivera,psc | Family Medicine | Bayamon Medical Center, Carr #2 Km 11.7, Bayamon, PR 00959 | 2020-04-06 |
| 1841826617 | Maidalidys Alcocer | Student in an Organized Health Care Education/Training Program | Urb. Santa Rosa Calle 19 21-13, Bayamon, PR 00959 | 2020-03-12 |
| 1245864081 | Raquel Ivelisse Lopez Crespo | Psychologist | Urb Santa Rosa Blq 51 #62, Marginal Carr #2, Bayamon, PR 00959 | 2020-03-02 |
| Find all providers in zip 00959 | ||||
| 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 |
|---|---|---|---|---|
| 1962042150 | Glorimar Rivera | Eyewear Supplier (Equipment, not the service) | Calle 48 I#3 Royal Town, Bayamon, PR 00956 | 2020-01-15 |
| 1083175434 | Vista Care Group LLC | Eyewear Supplier (Equipment, not the service) | Urb Santa Juanita, P60 Ave Santa Juanita, Bayamon, PR 00956 | 2019-03-28 |
| 1063989366 | Empresas Optica Nacional | Eyewear Supplier (Equipment, not the service) | Carr. 167 Za-28 Calle 36, Urb Riverview, Bayamon, PR 00960 | 2018-10-25 |
| 1518443480 | Raymond Antonio Rodriguez | Eyewear Supplier (Equipment, not the service) | Calle Coral Lomas Verdes, V 16, Bayamon, PR 00956 | 2018-07-13 |
| 1093254021 | Torres Optical Group LLC | Eyewear Supplier (Equipment, not the service) | H13 Calle 1, Riverside Park, Bayamon, PR 00961-8585 | 2017-02-23 |
| 1891234274 | Toperbee Corporation | Eyewear Supplier (Equipment, not the service) | Rexville Town Center, 3009 Ave Ramon Luis Rivera Ste 373, Bayamon, PR 00956 | 2017-02-17 |
| 1679949473 | Ohi of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | Rexville Town Ctr Bldg A4, Rd #167 K.m. 17.6, Bayamon, PR 00956-9212 | 2015-08-15 |
| 1780079673 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | Pr-2, Km 15.5, Bayamon, PR 00961 | 2015-03-30 |
| 1427446368 | Milagros Acevedo Garcia | Eyewear Supplier (Equipment, not the service) | Cc33 Ave Comerio, Rio Hondo, Bayamon, PR 00961-4477 | 2014-12-30 |
| 1497190102 | Clinica Las Americas Guaynabo, Inc. | Eyewear Supplier (Equipment, not the service) | Cas Linda Ave. #1, 177th St. Suite 101, Entrance American Military Academy, Bayamon, PR 00959-8998 | 2013-05-08 |
| Find all providers in BAYAMON | ||||
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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.